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W I Moore Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bastrop, Louisiana
NPI 1952527756

W I Moore Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bastrop, LA. W I Moore Inc practices in Bastrop, LA. The NPI Number for W I Moore Inc is 1952527756 and holds a License No. 507 (Louisiana).

The current practice location address for W I Moore Inc is 200 S Alvin St, Bastrop, LA and can be reached out via phone at 318-281-4889 and via fax at 318-281-4891.

Location: 200 S Alvin St, Bastrop, LA, 71220-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952527756
Provider Name
W I Moore Inc
Credential
Provider Entity Type
Organization
Address
200 S Alvin St, Bastrop, LA, 71220-4105
Phone Number
318-281-4889
Fax Number
318-281-4891
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717444 05 LA
institution
Provider Business Practice Location Address Details
Address
200 S Alvin St
City
Bastrop
State
Louisiana
Zip
71220-4105
Phone Number
318-281-4889
Fax Number
318-281-4891
person
Provider Business Mailing Address Details
Address
200 S Alvin St
City
Bastrop
State
Louisiana
Zip
71220-4105
Phone Number
318-281-4889
Fax Number
318-281-4891
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
507 (Louisiana)
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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