institution
Northwest Supports And Services Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bossier City, Louisiana
NPI 1558589952

Northwest Supports And Services Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bossier City, LA. Northwest Supports And Services Center practices in Bossier City, LA. The NPI Number for Northwest Supports And Services Center is 1558589952 and holds a License No. 12703 (Louisiana).

The current practice location address for Northwest Supports And Services Center is 5401 Shed Rd, Bossier City, LA and can be reached out via phone at 318-741-5230 and via fax at 318-741-7303.

Location: 5401 Shed Rd, Bossier City, LA, 71111-5420
institution
Provider Profile Details
NPI Number
1558589952
Provider Name
Northwest Supports And Services Center
Credential
Provider Entity Type
Organization
Address
5401 Shed Rd, Bossier City, LA, 71111-5420
Phone Number
318-741-5230
Fax Number
318-741-7303
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1408182 05 LA
1712035 05 LA
1156761 05 LA
1156752 05 LA
1567230 05 LA
institution
Provider Business Practice Location Address Details
Address
5401 Shed Rd
City
State
Zip
71111-5420
Phone Number
318-741-5230
Fax Number
318-741-7303
person
Provider Business Mailing Address Details
Address
5401 Shed Rd
City
State
Zip
71111-5420
Phone Number
318-741-5230
Fax Number
318-741-7303
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
12703 (Louisiana)
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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