Organization
COLWELL HEALTH SERVICES, LIMITED LIABILITY COMPANY
Active
Other names
Edgewood Drive Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TALMADGE COLWELL (OWNER)
(318) 442-2284
Entity
Organization
Contact information
Practice address
600 EDGEWOOD DR, PINEVILLE, LA 71360-4527
(318) 641-9994
(318) 448-1427
Mailing address
1111 MAIN ST, PINEVILLE, LA 71360-6423
(318) 442-2284
(318) 448-1427
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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