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Northlake Supports And Services Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Independence, Louisiana
NPI 1710150446

Northlake Supports And Services Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hammond, LA. Northlake Supports And Services Center practices in Independence, LA. The NPI Number for Northlake Supports And Services Center is 1710150446 and holds a License No. (Louisiana).

The current practice location address for Northlake Supports And Services Center is 27683 Ivy Springs Drive, Independence, LA and can be reached out via phone at 225-567-3111.

Location: 27683 Ivy Springs Drive, Independence, LA, 70401-4526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710150446
Provider Name
Northlake Supports And Services Center
Credential
Provider Entity Type
Organization
Address
27683 Ivy Springs Drive, Independence, LA, 70401-4526
Phone Number
225-567-3111
Fax Number
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27683 Ivy Springs Drive
City
Independence
State
Louisiana
Zip
70443
Phone Number
225-567-3111
Fax Number
person
Provider Business Mailing Address Details
Address
27683 Ivy Springs Drive
City
Independence
State
Louisiana
Zip
70443
Phone Number
225-567-3111
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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