Organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Active
Parent organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Other names
Freddie Byrd House
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Authorized official
KHRISTY ELLIS (CONTROLLER)
(318) 445-6443
Entity
Organization
Contact information
Practice address
2001 HUIE DELLMON AVE, BOYCE, LA 71409-9328
(318) 445-6443
Mailing address
PO BOX 7768, ALEXANDRIA, LA 71306-0768
(318) 445-6443
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MR0012750
LOUISIANA DEPT OF HEALTH
LA
Enumeration date
08/27/2021
Last updated
04/07/2026
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