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Wilson Group Home
Intellectual Disabilities Intermediate Care Facility in Cheneyville, Louisiana
NPI 1841434131

Wilson Group Home is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Wilson Group Home practices in Cheneyville, LA. The NPI Number for Wilson Group Home is 1841434131 and holds a License No. 1056 (Louisiana).

The current practice location address for Wilson Group Home is 502 Boyd Street, Cheneyville, LA and can be reached out via phone at 318-279-2464 and via fax at 318-279-2465.

Location: 502 Boyd Street, Cheneyville, LA, 71306-0917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841434131
Provider Name
Wilson Group Home
Credential
Provider Entity Type
Organization
Address
502 Boyd Street, Cheneyville, LA, 71306-0917
Phone Number
318-279-2464
Fax Number
318-279-2465
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
19G656 05 LA
institution
Provider Business Practice Location Address Details
Address
502 Boyd Street
City
Cheneyville
State
Louisiana
Zip
71325
Phone Number
318-279-2464
Fax Number
318-279-2465
person
Provider Business Mailing Address Details
Address
502 Boyd Street
City
Cheneyville
State
Louisiana
Zip
71325
Phone Number
318-279-2464
Fax Number
318-279-2465
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1056 (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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