institution
Normal Life Of Lafayette, Inc.
Intellectual Disabilities Intermediate Care Facility in Greenwell Springs, Louisiana
NPI 1073884466

Normal Life Of Lafayette, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Louisville, LA. Normal Life Of Lafayette, Inc. practices in Greenwell Springs, LA. The NPI Number for Normal Life Of Lafayette, Inc. is 1073884466 and holds a License No. (Louisiana).

The current practice location address for Normal Life Of Lafayette, Inc. is 12804 Pecos Ave, Greenwell Springs, LA and can be reached out via phone at 225-757-6192.

Location: 12804 Pecos Ave, Greenwell Springs, LA, 40223-3808
institution
Provider Profile Details
NPI Number
1073884466
Provider Name
Normal Life Of Lafayette, Inc.
Credential
Provider Entity Type
Organization
Address
12804 Pecos Ave, Greenwell Springs, LA, 40223-3808
Phone Number
225-757-6192
Fax Number
Provider Enumeration Date
01/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
886 01 LA OLD LICENSE NO.
1717045 01 LA VENDOR #
institution
Provider Business Practice Location Address Details
Address
12804 Pecos Ave
City
State
Zip
70739-3047
Phone Number
225-757-6192
Fax Number
person
Provider Business Mailing Address Details
Address
12804 Pecos Ave
City
State
Zip
70739-3047
Phone Number
225-757-6192
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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