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Certicare, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ruston, Louisiana
NPI 1962692541

Certicare, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Ruston, LA. Certicare, Inc. practices in Ruston, LA. The NPI Number for Certicare, Inc. is 1962692541 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, 71270-4654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962692541
Provider Name
Certicare, Inc.
Credential
Provider Entity Type
Organization
Address
413 S Farmerville St, Ruston, LA, 71270-4654
Phone Number
318-255-1077
Fax Number
318-254-8250
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1784613 05 LA
institution
Provider Business Practice Location Address Details
Address
413 S Farmerville St
City
Ruston
State
Louisiana
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
Ruston
State
Louisiana
Zip
71270-4654
Phone Number
318-255-1077
Fax Number
318-254-8250
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Louisiana)
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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