institution
Certicare,inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ruston, Louisiana
NPI 1831398239

Certicare,inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bossier City, LA. Certicare,inc practices in Ruston, LA. The NPI Number for Certicare,inc is 1831398239 and holds a License No. (Louisiana).

The current practice location address for Certicare,inc is 413 S Farmerville St, Ruston, LA and can be reached out via phone at 318-255-1077 and via fax at 318-254-8250.

Location: 413 S Farmerville St, Ruston, LA, 71112-2446
institution
Provider Profile Details
NPI Number
1831398239
Provider Name
Certicare,inc
Credential
Provider Entity Type
Organization
Address
413 S Farmerville St, Ruston, LA, 71112-2446
Phone Number
318-255-1077
Fax Number
318-254-8250
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1773620 05 LA
institution
Provider Business Practice Location Address Details
Address
413 S Farmerville St
City
State
Zip
71270-4654
Phone Number
318-255-1077
Fax Number
318-254-8250
person
Provider Business Mailing Address Details
Address
413 S Farmerville St
City
State
Zip
71270-4654
Phone Number
318-255-1077
Fax Number
318-254-8250
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.
()
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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