institution
Havens Gateway Personal Care Facility Inc
Child Intellectual and/or Developmental Disabilities Respite Care in Baton Rouge, Louisiana
NPI 1346409943

Havens Gateway Personal Care Facility Inc is a Child Intellectual and/or Developmental Disabilities Respite Care based in Baton Rouge, LA and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Havens Gateway Personal Care Facility Inc practices in Baton Rouge, LA. The NPI Number for Havens Gateway Personal Care Facility Inc is 1346409943 and holds a License No. RC 13015 (Louisiana).

The current practice location address for Havens Gateway Personal Care Facility Inc is 1200 S Acadian Thruway, Baton Rouge, LA and can be reached out via phone at 225-343-4740 and via fax at 225-343-4742. You can also correspond with Havens Gateway Personal Care Facility Inc through the mailing address at 1200 S ACADIAN THRUWAY, BATON ROUGE, LA - 70806-6900 (mailing address contact number: 225-343-4740).

Location: 1200 S Acadian Thruway, Baton Rouge, LA, 70806-6900
institution
Provider Profile Details
NPI Number
1346409943
Provider Name
Havens Gateway Personal Care Facility Inc
Credential
Provider Entity Type
Organization
Address
1200 S Acadian Thruway, Baton Rouge, LA, 70806-6900
Phone Number
225-343-4740
Fax Number
225-343-4742
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1072583 05 LA
RC 13015 05 LA
institution
Provider Business Practice Location Address Details
Address
1200 S Acadian Thruway
City
State
Zip
70806-6900
Phone Number
225-343-4740
Fax Number
225-343-4742
person
Provider Business Mailing Address Details
Address
1200 S Acadian Thruway
City
State
Zip
70806-6900
Phone Number
225-343-4740
Fax Number
225-343-4742
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
RC 13015 (Louisiana)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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