Organization · Type 2 NPI

Port City Enterprises, Inc.

Child Intellectual and/or Developmental Disabilities Respite Care · Port Allen, LA

NPI number 1053508556 Active

Practice location

836 N. Seventh St
Port Allen, LA 70767

Fax (225) 344-1192

Mailing address

P.o. Box 113, 836 N. 7th St
Port Allen,, LA 70767

Specialties and licenses

TaxonomyCodeLicense
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060X4624 (LA)

Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

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About NPI 1053508556

Port City Enterprises, Inc.'s National Provider Identifier is 1053508556, issued on Sep 28, 2007. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Port Allen, LA. The record was last updated on Sep 28, 2007.