Organization
LIBERTY TWO COMMUNITY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKIE J LAFLEUR JR. (DIRECTOR OF OPERATIONS)
(337) 546-0662
Entity
Organization
Contact information
Practice address
1650 BETTY ST, EUNICE, LA 70535-4262
(337) 546-0662
(337) 546-6827
Mailing address
1650 BETTY ST, EUNICE, LA 70535-4262
(337) 546-0662
(337) 546-6827
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718670
PROVIDER NUMBER
LA
Enumeration date
02/26/2007
Last updated
08/22/2020
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