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Louisiana Cni, Llc
Intellectual Disabilities Intermediate Care Facility in Greenwell Springs, Louisiana
NPI 1427153378

Louisiana Cni, Llc is a Intellectual Disabilities Intermediate Care Facility based in Baton Rouge, LA. Louisiana Cni, Llc practices in Greenwell Springs, LA. The NPI Number for Louisiana Cni, Llc is 1427153378 and holds a License No. 886 (Louisiana).

The current practice location address for Louisiana Cni, Llc is 12804 Pecos Ave, Greenwell Springs, LA and can be reached out via phone at 225-261-7790 and via fax at 225-273-4305.

Location: 12804 Pecos Ave, Greenwell Springs, LA, 70815-2702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427153378
Provider Name
Louisiana Cni, Llc
Credential
Provider Entity Type
Organization
Address
12804 Pecos Ave, Greenwell Springs, LA, 70815-2702
Phone Number
225-261-7790
Fax Number
225-273-4305
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717045 05 LA
institution
Provider Business Practice Location Address Details
Address
12804 Pecos Ave
City
Greenwell Springs
State
Louisiana
Zip
70739-3047
Phone Number
225-261-7790
Fax Number
225-273-4305
person
Provider Business Mailing Address Details
Address
12804 Pecos Ave
City
Greenwell Springs
State
Louisiana
Zip
70739-3047
Phone Number
225-261-7790
Fax Number
225-273-4305
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
886 (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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