Organization · Type 2 NPI
Liberty One Community Home
Intellectual Disabilities Intermediate Care Facility · Eunice, LA
NPI number
1639205693
Active
Practice location
1050 W Vine Ave
Eunice, LA 70535-3132
Fax (337) 546-6827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 523 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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- Liberty Two Community HomeIntellectual Disabilities Intermediate Care Facility Eunice, LA NPI 1952437931
About NPI 1639205693
Liberty One Community Home's National Provider Identifier is 1639205693, issued on Feb 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Eunice, LA. The record was last updated on Aug 22, 2020.