institution
Grant Community Home
Intellectual Disabilities Intermediate Care Facility in Alexandria, Louisiana
NPI 1982862504

Grant Community Home is a Intellectual Disabilities Intermediate Care Facility based in Alexandria, LA. Grant Community Home practices in Alexandria, LA. The NPI Number for Grant Community Home is 1982862504 and holds a License No. 1030 (Louisiana).

The current practice location address for Grant Community Home is 1212 Wilshire Dr, Alexandria, LA and can be reached out via phone at 318-767-5865 and via fax at 318-767-5940.

Location: 1212 Wilshire Dr, Alexandria, LA, 71306-0917
institution
Provider Profile Details
NPI Number
1982862504
Provider Name
Grant Community Home
Credential
Provider Entity Type
Organization
Address
1212 Wilshire Dr, Alexandria, LA, 71306-0917
Phone Number
318-767-5865
Fax Number
318-767-5940
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1030 05 LA
institution
Provider Business Practice Location Address Details
Address
1212 Wilshire Dr
City
State
Zip
71303-3140
Phone Number
318-767-5865
Fax Number
318-767-5940
person
Provider Business Mailing Address Details
Address
1212 Wilshire Dr
City
State
Zip
71303-3140
Phone Number
318-767-5865
Fax Number
318-767-5940
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
1030 (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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