Organization · Type 2 NPI
Medical Management Enterprises Inc
Intellectual Disabilities Intermediate Care Facility · Gonzales, LA
NPI number
1447456066
Active
Practice location
1808 S Shirley Ave
Gonzales, LA 70737-3922
Mailing address
PO Box 571
Gonzales, LA 70707-0571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 707 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1447456066
Medical Management Enterprises Inc's National Provider Identifier is 1447456066, 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 Jun 13, 2008.