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Crossroads Louisiana, Inc.
Intellectual Disabilities Intermediate Care Facility in Gretna, Louisiana
NPI 1679693014

Crossroads Louisiana, Inc. is a Intellectual Disabilities Intermediate Care Facility based in New Orleans, LA. Crossroads Louisiana, Inc. practices in Gretna, LA. The NPI Number for Crossroads Louisiana, Inc. is 1679693014 and holds a License No. 1718378 (Louisiana).

The current practice location address for Crossroads Louisiana, Inc. is 1817 Hancock St, Gretna, LA and can be reached out via phone at 504-366-1828 and via fax at 504-366-1867.

Location: 1817 Hancock St, Gretna, LA, 70114-1046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679693014
Provider Name
Crossroads Louisiana, Inc.
Credential
Provider Entity Type
Organization
Address
1817 Hancock St, Gretna, LA, 70114-1046
Phone Number
504-366-1828
Fax Number
504-366-1867
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1718378 05 LA
institution
Provider Business Practice Location Address Details
Address
1817 Hancock St
City
Gretna
State
Louisiana
Zip
70053-3408
Phone Number
504-366-1828
Fax Number
504-366-1867
person
Provider Business Mailing Address Details
Address
1817 Hancock St
City
Gretna
State
Louisiana
Zip
70053-3408
Phone Number
504-366-1828
Fax Number
504-366-1867
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1718378 (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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