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Liberty One Community Home
Intellectual Disabilities Intermediate Care Facility in Eunice, Louisiana
NPI 1639205693

Liberty One Community Home is a Intellectual Disabilities Intermediate Care Facility based in Eunice, LA. Liberty One Community Home practices in Eunice, LA. The NPI Number for Liberty One Community Home is 1639205693 and holds a License No. 523 (Louisiana).

The current practice location address for Liberty One Community Home is 1050 W Vine Ave, Eunice, LA and can be reached out via phone at 337-546-6650 and via fax at 337-546-6827.

Location: 1050 W Vine Ave, Eunice, LA, 70535-3132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639205693
Provider Name
Liberty One Community Home
Credential
Provider Entity Type
Organization
Address
1050 W Vine Ave, Eunice, LA, 70535-3132
Phone Number
337-546-6650
Fax Number
337-546-6827
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717649 01 LA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1050 W Vine Ave
City
Eunice
State
Louisiana
Zip
70535-3132
Phone Number
337-546-6650
Fax Number
337-546-6827
person
Provider Business Mailing Address Details
Address
1050 W Vine Ave
City
Eunice
State
Louisiana
Zip
70535-3132
Phone Number
337-546-6650
Fax Number
337-546-6827
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
523 (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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