institution
Mary Marcombe Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Donaldsonville, Louisiana
NPI 1649496142

Mary Marcombe Home is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Donaldsonville, LA. Mary Marcombe Home practices in Donaldsonville, LA. The NPI Number for Mary Marcombe Home is 1649496142 and holds a License No. 495 (Louisiana).

The current practice location address for Mary Marcombe Home is 1030 Clay St, Donaldsonville, LA and can be reached out via phone at 225-473-4516 and via fax at 225-473-4517.

Location: 1030 Clay St, Donaldsonville, LA, 70346-3518
institution
Provider Profile Details
NPI Number
1649496142
Provider Name
Mary Marcombe Home
Credential
Provider Entity Type
Organization
Address
1030 Clay St, Donaldsonville, LA, 70346-3518
Phone Number
225-473-4516
Fax Number
225-473-4517
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717339 05 LA
institution
Provider Business Practice Location Address Details
Address
1030 Clay St
City
State
Zip
70346-3518
Phone Number
225-473-4516
Fax Number
225-473-4517
person
Provider Business Mailing Address Details
Address
1030 Clay St
City
State
Zip
70346-3518
Phone Number
225-473-4516
Fax Number
225-473-4517
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
495 (Louisiana)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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