Organization · Type 2 NPI
Northlake Supports and Services Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Independence, LA
Practice location
27683 Ivy Springs Drive
Independence, LA 70443
Mailing address
45439 Live Oak Dr
Hammond, LA 70401-4526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.
About NPI 1710150446
Northlake Supports and Services Center's National Provider Identifier is 1710150446, issued on Apr 2, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Independence, LA. The record was last updated on Apr 2, 2008.