Organization · Type 2 NPI

W.i. Moore Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bastrop, LA

NPI number 1659596740 Active

Practice location

200 S Alvin St
Bastrop, LA 71220-4105

Call (318) 281-4889 Map

Fax (318) 281-4891

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X616 (LA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1659596740

W.i. Moore Inc's National Provider Identifier is 1659596740, issued on Apr 16, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bastrop, LA. The record was last updated on Aug 22, 2020.