institution
Madison Group Home
Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana
NPI 1689726143

Madison Group Home is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Madison Group Home practices in Alexandria, LA. The NPI Number for Madison Group Home is 1689726143 and holds a License No. 947 (Louisiana).

The current practice location address for Madison Group Home is 1315 Presidents Drive, Alexandria, LA and can be reached out via phone at 318-443-7552 and via fax at 318-443-7553. You can also correspond with Madison Group Home through the mailing address at PO BOX 7917, ALEXANDRIA, LA - 71306-0917 (mailing address contact number: 318-445-1551).

Location: 1315 Presidents Drive, Alexandria, LA, 71306-0917
institution
Provider Profile Details
NPI Number
1689726143
Provider Name
Madison Group Home
Credential
Provider Entity Type
Organization
Address
1315 Presidents Drive, Alexandria, LA, 71306-0917
Phone Number
318-443-7552
Fax Number
318-443-7553
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
19G575 05 LA
1099325 01 LA UNISYS
institution
Provider Business Practice Location Address Details
Address
1315 Presidents Drive
City
State
Zip
71303
Phone Number
318-443-7552
Fax Number
318-443-7553
person
Provider Business Mailing Address Details
Address
1315 Presidents Drive
City
State
Zip
71303
Phone Number
318-443-7552
Fax Number
318-443-7553
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
947 (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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