institution
Normal Life Of Lafayette, Inc.
Intellectual Disabilities Intermediate Care Facility in Baton Rouge, Louisiana
NPI 1679845614

Normal Life Of Lafayette, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Louisville, LA. Normal Life Of Lafayette, Inc. practices in Baton Rouge, LA. The NPI Number for Normal Life Of Lafayette, Inc. is 1679845614 and holds a License No. (Louisiana).

The current practice location address for Normal Life Of Lafayette, Inc. is 4236 Southpark Dr, Baton Rouge, LA and can be reached out via phone at 225-778-5258.

Location: 4236 Southpark Dr, Baton Rouge, LA, 40223-3808
institution
Provider Profile Details
NPI Number
1679845614
Provider Name
Normal Life Of Lafayette, Inc.
Credential
Provider Entity Type
Organization
Address
4236 Southpark Dr, Baton Rouge, LA, 40223-3808
Phone Number
225-778-5258
Fax Number
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
893 01 LA OLD LICENSE NO.
1718793 01 LA OLD VENDOR NO.
institution
Provider Business Practice Location Address Details
Address
4236 Southpark Dr
City
State
Zip
70816-4143
Phone Number
225-778-5258
Fax Number
person
Provider Business Mailing Address Details
Address
4236 Southpark Dr
City
State
Zip
70816-4143
Phone Number
225-778-5258
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
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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