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Westside Habilitation Center
Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana
NPI 1154358125

Westside Habilitation Center is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Westside Habilitation Center practices in Alexandria, LA. The NPI Number for Westside Habilitation Center is 1154358125 and holds a License No. 309 (Louisiana).

The current practice location address for Westside Habilitation Center is 2987 N Bolton Ave, Alexandria, LA and can be reached out via phone at 318-473-1880 and via fax at 318-445-7332.

Location: 2987 N Bolton Ave, Alexandria, LA, 71306-0917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154358125
Provider Name
Westside Habilitation Center
Credential
Provider Entity Type
Organization
Address
2987 N Bolton Ave, Alexandria, LA, 71306-0917
Phone Number
318-473-1880
Fax Number
318-445-7332
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19G087 05 LA
1715701 01 LA UNYSIS
institution
Provider Business Practice Location Address Details
Address
2987 N Bolton Ave
City
Alexandria
State
Louisiana
Zip
71303-4512
Phone Number
318-473-1880
Fax Number
318-445-7332
person
Provider Business Mailing Address Details
Address
2987 N Bolton Ave
City
Alexandria
State
Louisiana
Zip
71303-4512
Phone Number
318-473-1880
Fax Number
318-445-7332
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
309 (Louisiana)
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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