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Cleveland Community Home
Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana
NPI 1306089594

Cleveland Community Home is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Cleveland Community Home practices in Alexandria, LA. The NPI Number for Cleveland Community Home is 1306089594 and holds a License No. 1052 (Louisiana).

The current practice location address for Cleveland Community Home is 5621 Hera St, Alexandria, LA and can be reached out via phone at 318-487-1249 and via fax at 318-487-1248.

Location: 5621 Hera St, Alexandria, LA, 71306-0917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306089594
Provider Name
Cleveland Community Home
Credential
Provider Entity Type
Organization
Address
5621 Hera St, Alexandria, LA, 71306-0917
Phone Number
318-487-1249
Fax Number
318-487-1248
Provider Enumeration Date
04/17/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
19G652 05 LA
institution
Provider Business Practice Location Address Details
Address
5621 Hera St
City
Alexandria
State
Louisiana
Zip
71303-2212
Phone Number
318-487-1249
Fax Number
318-487-1248
person
Provider Business Mailing Address Details
Address
5621 Hera St
City
Alexandria
State
Louisiana
Zip
71303-2212
Phone Number
318-487-1249
Fax Number
318-487-1248
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1052 (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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