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Port City Enterprises, Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Port Allen, Louisiana
NPI 1053508556

Port City Enterprises, Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Port Allen,, LA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Port City Enterprises, Inc. practices in Port Allen, LA. The NPI Number for Port City Enterprises, Inc. is 1053508556 and holds a License No. 4624 (Louisiana).

The current practice location address for Port City Enterprises, Inc. is 836 N. Seventh St, Port Allen, LA and can be reached out via phone at 225-344-1142 and via fax at 225-344-1192.

Location: 836 N. Seventh St, Port Allen, LA, 70767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053508556
Provider Name
Port City Enterprises, Inc.
Credential
Provider Entity Type
Organization
Address
836 N. Seventh St, Port Allen, LA, 70767
Phone Number
225-344-1142
Fax Number
225-344-1192
Provider Enumeration Date
09/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1686638 05 LA
institution
Provider Business Practice Location Address Details
Address
836 N. Seventh St
City
Port Allen
State
Louisiana
Zip
70767
Phone Number
225-344-1142
Fax Number
225-344-1192
person
Provider Business Mailing Address Details
Address
836 N. Seventh St
City
Port Allen
State
Louisiana
Zip
70767
Phone Number
225-344-1142
Fax Number
225-344-1192
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
4624 (Louisiana)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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