Organization
GERALD MARTINEZ, LLC
Active
Other names
Summer House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LARESA OSBORNE TEEKEL QMRP (ADMINISTRATOR)
(225) 933-7488
Entity
Organization
Contact information
Practice address
32649 PERKINS RD, DENHAM SPRINGS, LA 70706-1152
(225) 933-7488
Mailing address
32649 PERKINS RD, DENHAM SPRINGS, LA 70706-1152
(225) 933-7488
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
LA
Other
Enumeration date
12/27/2007
Last updated
02/02/2015
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