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St. Genevive Health Care Services, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Shreveport, Louisiana
NPI 1154547578

St. Genevive Health Care Services, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Shreveport, LA. St. Genevive Health Care Services, Inc. practices in Shreveport, LA. The NPI Number for St. Genevive Health Care Services, Inc. is 1154547578 and holds a License No. RC 7049 (Louisiana).

The current practice location address for St. Genevive Health Care Services, Inc. is 3003 Knight St, Shreveport, LA and can be reached out via phone at 318-219-4101.

Location: 3003 Knight St, Shreveport, LA, 71129-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154547578
Provider Name
St. Genevive Health Care Services, Inc.
Credential
Provider Entity Type
Organization
Address
3003 Knight St, Shreveport, LA, 71129-2615
Phone Number
318-219-4101
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1505480 05 LA
institution
Provider Business Practice Location Address Details
Address
3003 Knight St
City
Shreveport
State
Louisiana
Zip
71105-2507
Phone Number
318-219-4101
Fax Number
person
Provider Business Mailing Address Details
Address
3003 Knight St
City
Shreveport
State
Louisiana
Zip
71105-2507
Phone Number
318-219-4101
Fax Number
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.
RC 7049 (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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