Organization · Type 2 NPI
Medical Management Enterprises
Intellectual Disabilities Intermediate Care Facility · Gonzales, LA
NPI number
1275739997
Active
Practice location
1238 N Barman Ave
Gonzales, LA 70737-2440
Mailing address
PO Box 819
Gonzales, LA 70707-0819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 483 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1275739997
Medical Management Enterprises's National Provider Identifier is 1275739997, issued on Jun 21, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gonzales, LA. The record was last updated on Sep 3, 2013.