Organization
ABUNDANT LIFE HOMES OF LA. INC
Active
Other names
Abundance Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY NOE (ADMINISTRATOR)
(225) 275-5303
Entity
Organization
Contact information
Practice address
942 MCLEMORE DR, BATON ROUGE, LA 70816-1802
(225) 275-5303
(255) 274-1028
Mailing address
942 MCLEMORE DR, BATON ROUGE, LA 70816-1802
(225) 275-5303
(255) 274-1028
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
629
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718904
—
LA
Enumeration date
11/18/2008
Last updated
11/18/2008
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