Organization · Type 2 NPI

Colonel Joseph George & Saida Saloom Hannie Community Home, Inc.

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

NPI number 1750419941 Active

Practice location

325 W Broussard Rd
Lafayette, LA 70506-7813

Call (337) 981-0842 Map

Fax (337) 981-0441

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X940 (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 1750419941

Colonel Joseph George & Saida Saloom Hannie Community Home, Inc.'s National Provider Identifier is 1750419941, issued on Mar 1, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lafayette, LA. The record was last updated on Aug 22, 2020.