Organization · Type 2 NPI

Westside Habiliatation Center

Intellectual Disabilities Intermediate Care Facility · Alexandria, LA

NPI number 1285810846 Active

Practice location

1292 Presidents Drive
Alexandria, LA 71303

Call (318) 473-9063 Map

Fax (318) 445-9062

Mailing address

PO Box 7917
Alexandria, LA 71306-0917

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	1017 (LA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1285810846
Entity type: Organization (Type 2)
Issued: Jan 14, 2008
Last updated: Nov 5, 2009
Status: Active
Subpart: Yes of Westside Habilitation Center

Other names

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Buchanan Group Home · doing business as

Authorized official

Ms. Christina B Bolton
Administrator
(318) 445-1551

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285810846

Westside Habiliatation Center's National Provider Identifier is 1285810846, issued on Jan 14, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Alexandria, LA. The record was last updated on Nov 5, 2009.