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Lasting Impression Care, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gretna, Louisiana
NPI 1003004441

Lasting Impression Care, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Gretna, LA. Lasting Impression Care, Inc practices in Gretna, LA. The NPI Number for Lasting Impression Care, Inc is 1003004441 and holds a License No. PCA 14002 (Louisiana).

The current practice location address for Lasting Impression Care, Inc is 405 Gretna Blvd, Gretna, LA and can be reached out via phone at 504-227-8343 and via fax at 504-227-8540.

Location: 405 Gretna Blvd, Gretna, LA, 70053-4900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003004441
Provider Name
Lasting Impression Care, Inc
Credential
Provider Entity Type
Organization
Address
405 Gretna Blvd, Gretna, LA, 70053-4900
Phone Number
504-227-8343
Fax Number
504-227-8540
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1709735 05 LA
institution
Provider Business Practice Location Address Details
Address
405 Gretna Blvd
City
Gretna
State
Louisiana
Zip
70053-4900
Phone Number
504-227-8343
Fax Number
504-227-8540
person
Provider Business Mailing Address Details
Address
405 Gretna Blvd
City
Gretna
State
Louisiana
Zip
70053-4900
Phone Number
504-227-8343
Fax Number
504-227-8540
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
PCA 14002 (Louisiana)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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