Organization · Type 2 NPI
Liberty Four Community Home
Intellectual Disabilities Intermediate Care Facility · Ville Platte, LA
NPI number
1194851006
Active
Practice location
134 Progress Rd
Ville Platte, LA 70586-5724
Fax (337) 546-6827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 294 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1194851006
Liberty Four Community Home's National Provider Identifier is 1194851006, issued on Feb 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ville Platte, LA. The record was last updated on Aug 22, 2020.