institution
Columbia Developmental Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Louisiana
NPI 1568681914

Columbia Developmental Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbia, LA. Columbia Developmental Center practices in Columbia, LA. The NPI Number for Columbia Developmental Center is 1568681914 and holds a License No. 655 (Louisiana).

The current practice location address for Columbia Developmental Center is 103 Pineburr Dr, Columbia, LA and can be reached out via phone at 318-649-6097 and via fax at 318-649-2868.

Location: 103 Pineburr Dr, Columbia, LA, 71418-1559
institution
Provider Profile Details
NPI Number
1568681914
Provider Name
Columbia Developmental Center
Credential
Provider Entity Type
Organization
Address
103 Pineburr Dr, Columbia, LA, 71418-1559
Phone Number
318-649-6097
Fax Number
318-649-2868
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1712248 05 LA
institution
Provider Business Practice Location Address Details
Address
103 Pineburr Dr
City
State
Zip
71418-4766
Phone Number
318-649-6097
Fax Number
318-649-2868
person
Provider Business Mailing Address Details
Address
103 Pineburr Dr
City
State
Zip
71418-4766
Phone Number
318-649-6097
Fax Number
318-649-2868
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.
655 (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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