institution
Roosevelt Community Home
Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana
NPI 1174766364

Roosevelt Community Home is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Roosevelt Community Home practices in Alexandria, LA. The NPI Number for Roosevelt Community Home is 1174766364 and holds a License No. 1054 (Louisiana).

The current practice location address for Roosevelt Community Home is 1605 Texas Ave, Alexandria, LA and can be reached out via phone at 318-443-9330 and via fax at 318-443-9359.

Location: 1605 Texas Ave, Alexandria, LA, 71306-0917
institution
Provider Profile Details
NPI Number
1174766364
Provider Name
Roosevelt Community Home
Credential
Provider Entity Type
Organization
Address
1605 Texas Ave, Alexandria, LA, 71306-0917
Phone Number
318-443-9330
Fax Number
318-443-9359
Provider Enumeration Date
04/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19G654 05 LA
institution
Provider Business Practice Location Address Details
Address
1605 Texas Ave
City
State
Zip
71301-4050
Phone Number
318-443-9330
Fax Number
318-443-9359
person
Provider Business Mailing Address Details
Address
1605 Texas Ave
City
State
Zip
71301-4050
Phone Number
318-443-9330
Fax Number
318-443-9359
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
1054 (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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