Organization · Type 2 NPI
Bayou State Health Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pollock, LA
Practice location
550 Robertson Rd
Pollock, LA 71467-3800
Fax (318) 641-9991
Mailing address
PO Box 1098
Ball, LA 71405-1098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 810 (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.
About NPI 1790963189
Bayou State Health Services's National Provider Identifier is 1790963189, issued on Feb 7, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pollock, LA. The record was last updated on Feb 8, 2008.