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Pinecrest Developmental Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alexandria, Louisiana
NPI 1598980096

Pinecrest Developmental Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pineville, LA. Pinecrest Developmental Center practices in Alexandria, LA. The NPI Number for Pinecrest Developmental Center is 1598980096 and holds a License No. 949 (Louisiana).

The current practice location address for Pinecrest Developmental Center is 528 Bob White Ln, Alexandria, LA and can be reached out via phone at 318-442-4655 and via fax at 318-641-2309.

Location: 528 Bob White Ln, Alexandria, LA, 71361-5191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598980096
Provider Name
Pinecrest Developmental Center
Credential
Provider Entity Type
Organization
Address
528 Bob White Ln, Alexandria, LA, 71361-5191
Phone Number
318-442-4655
Fax Number
318-641-2309
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1712337 05 LA
institution
Provider Business Practice Location Address Details
Address
528 Bob White Ln
City
Alexandria
State
Louisiana
Zip
71303-2415
Phone Number
318-442-4655
Fax Number
318-641-2309
person
Provider Business Mailing Address Details
Address
528 Bob White Ln
City
Alexandria
State
Louisiana
Zip
71303-2415
Phone Number
318-442-4655
Fax Number
318-641-2309
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
949 (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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