Organization · Type 2 NPI

Certicare, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bossier City, LA

NPI number 1457537169 Active

Practice location

3018 Old Minden Rd, 1110
Bossier City, LA 71112-2446

Call (318) 742-4510 Map

Fax (318) 742-4096

Mailing address

107 West Alabama Ave
Ruston, LA 71270

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1457537169

Certicare, Inc.'s National Provider Identifier is 1457537169, issued on Jan 11, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bossier City, LA. The record was last updated on Feb 6, 2008.