institution
Pinecrest Developmental Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pineville, Louisiana
NPI 1679756324

Pinecrest Developmental Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pineville, LA. Pinecrest Developmental Center practices in Pineville, LA. The NPI Number for Pinecrest Developmental Center is 1679756324 and holds a License No. 1612 (Louisiana).

The current practice location address for Pinecrest Developmental Center is 5602 Mar Bud Trace, Pineville, LA and can be reached out via phone at 318-441-9905 and via fax at 318-441-9905. You can also correspond with Pinecrest Developmental Center through the mailing address at PO BOX 5191, PINEVILLE, LA - 71361-5191 (mailing address contact number: 318-641-2000).

Location: 5602 Mar Bud Trace, Pineville, LA, 71361-5191
institution
Provider Profile Details
NPI Number
1679756324
Provider Name
Pinecrest Developmental Center
Credential
Provider Entity Type
Organization
Address
5602 Mar Bud Trace, Pineville, LA, 71361-5191
Phone Number
318-441-9905
Fax Number
318-441-9905
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5602 Mar Bud Trace
City
State
Zip
71361
Phone Number
318-441-9905
Fax Number
318-441-9905
person
Provider Business Mailing Address Details
Address
5602 Mar Bud Trace
City
State
Zip
71361
Phone Number
318-441-9905
Fax Number
318-441-9905
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.
1612 (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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