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Liberty Four Community Home
Intellectual Disabilities Intermediate Care Facility in Ville Platte, Louisiana
NPI 1194851006

Liberty Four Community Home is a Intellectual Disabilities Intermediate Care Facility based in Ville Platte, LA. Liberty Four Community Home practices in Ville Platte, LA. The NPI Number for Liberty Four Community Home is 1194851006 and holds a License No. 294 (Louisiana).

The current practice location address for Liberty Four Community Home is 134 Progress Rd, Ville Platte, LA and can be reached out via phone at 337-546-0667 and via fax at 337-546-6827.

Location: 134 Progress Rd, Ville Platte, LA, 70586-5724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194851006
Provider Name
Liberty Four Community Home
Credential
Provider Entity Type
Organization
Address
134 Progress Rd, Ville Platte, LA, 70586-5724
Phone Number
337-546-0667
Fax Number
337-546-6827
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717967 01 LA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
134 Progress Rd
City
Ville Platte
State
Louisiana
Zip
70586-5724
Phone Number
337-546-0667
Fax Number
337-546-6827
person
Provider Business Mailing Address Details
Address
134 Progress Rd
City
Ville Platte
State
Louisiana
Zip
70586-5724
Phone Number
337-546-0667
Fax Number
337-546-6827
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
294 (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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