Organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Active
Parent organization
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Other names
Gabriel House
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S RESIDENTIAL COMMUNITY AND SERVICES
Authorized official
MS. CHRISTINA M GUILLOT (ADMINISTRATOR)
(318) 445-6443
Entity
Organization
Contact information
Practice address
1911 HUIE DELLMON AVE, BOYCE, LA 71409-9329
(318) 370-6493
Mailing address
PO BOX 7768, ALEXANDRIA, LA 71306-0768
(318) 445-6443
(318) 449-8540
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MR0012569
LOUISIANA DEPT. OF HEALTH
LA
Enumeration date
01/06/2021
Last updated
04/07/2026
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