Organization
RESCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE MATTINGLY (MANAGER PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization
Contact information
Practice address
15460 TRACEY LN, INDEPENDENCE, LA 70443-2470
(985) 674-4177
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717142
—
LA
Enumeration date
11/28/2006
Last updated
09/28/2022
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