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Certicareinc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ruston, Louisiana
NPI 1205995792

Certicareinc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Ruston, LA. Certicareinc practices in Ruston, LA. The NPI Number for Certicareinc is 1205995792 and holds a License No. (Louisiana).

The current practice location address for Certicareinc is 413 S Farmerville St, Ruston, LA and can be reached out via phone at 318-255-1077.

Location: 413 S Farmerville St, Ruston, LA, 71270-4654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205995792
Provider Name
Certicareinc
Credential
Provider Entity Type
Organization
Address
413 S Farmerville St, Ruston, LA, 71270-4654
Phone Number
318-255-1077
Fax Number
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1123609 05 LA
1773212 05 LA
1773662 05 LA
1773620 05 LA
1123625 05 LA
1462870 05 LA
institution
Provider Business Practice Location Address Details
Address
413 S Farmerville St
City
Ruston
State
Louisiana
Zip
71270-4654
Phone Number
318-255-1077
Fax Number
person
Provider Business Mailing Address Details
Address
413 S Farmerville St
City
Ruston
State
Louisiana
Zip
71270-4654
Phone Number
318-255-1077
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.
()
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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