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Normal Life Of Lafayette, Inc.
Intellectual Disabilities Intermediate Care Facility in Brusly, Louisiana
NPI 1194095745

Normal Life Of Lafayette, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Louisville, LA. Normal Life Of Lafayette, Inc. practices in Brusly, LA. The NPI Number for Normal Life Of Lafayette, Inc. is 1194095745 and holds a License No. (Louisiana).

The current practice location address for Normal Life Of Lafayette, Inc. is 5051 Raymond Labauve Rd, Brusly, LA and can be reached out via phone at 225-778-5175.

Location: 5051 Raymond Labauve Rd, Brusly, LA, 40223-3808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194095745
Provider Name
Normal Life Of Lafayette, Inc.
Credential
Provider Entity Type
Organization
Address
5051 Raymond Labauve Rd, Brusly, LA, 40223-3808
Phone Number
225-778-5175
Fax Number
Provider Enumeration Date
01/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717304 01 LA VENDOR #
880 01 LA OLD LICENSE NO.
institution
Provider Business Practice Location Address Details
Address
5051 Raymond Labauve Rd
City
Brusly
State
Louisiana
Zip
70719-2337
Phone Number
225-778-5175
Fax Number
person
Provider Business Mailing Address Details
Address
5051 Raymond Labauve Rd
City
Brusly
State
Louisiana
Zip
70719-2337
Phone Number
225-778-5175
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
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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Intellectual Disabilities Intermediate Care Facility
5051 Raymond Labauve Rd,
BRUSLY, LA
70719-2337
225-749-8082
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