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Northwest Supports And Services Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bossier City, Louisiana
NPI 1689715179

Northwest Supports And Services Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Bossier City, LA. Northwest Supports And Services Center practices in Bossier City, LA. The NPI Number for Northwest Supports And Services Center is 1689715179 and holds a License No. 750000461 (Louisiana).

The current practice location address for Northwest Supports And Services Center is 5401 Shed Rd, Bossier City, LA and can be reached out via phone at 318-741-5230 and via fax at 318-741-5303.

Location: 5401 Shed Rd, Bossier City, LA, 71111-5420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689715179
Provider Name
Northwest Supports And Services Center
Credential
Provider Entity Type
Organization
Address
5401 Shed Rd, Bossier City, LA, 71111-5420
Phone Number
318-741-5230
Fax Number
318-741-5303
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1156761 05 LA
1712035 05 LA
1156752 05 LA
1567230 05 LA
1408182 05 LA
institution
Provider Business Practice Location Address Details
Address
5401 Shed Rd
City
Bossier City
State
Louisiana
Zip
71111-5420
Phone Number
318-741-5230
Fax Number
318-741-5303
person
Provider Business Mailing Address Details
Address
5401 Shed Rd
City
Bossier City
State
Louisiana
Zip
71111-5420
Phone Number
318-741-5230
Fax Number
318-741-5303
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
750000461 (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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