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NORMAL LIFE OF LOUISIANA INC. NPI 1073904389


NPI Information

NPI: 1073904389
Provider Name: NORMAL LIFE OF LOUISIANA, INC.

Other Name: TRACY LANE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
15460 TRACEY LN
INDEPENDENCE, LA
ZIP 70443
Phone: (502) 394-2100
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NORMAL LIFE OF LOUISIANA, INC. is an intermediate care facility mentally retarded in Independence, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORMAL LIFE OF LOUISIANA, INC. NPI is 1073904389. The provider is registered as an organization entity type.
The provider Other Name Is Tracy Lane.

The provider's business location address is:

15460 TRACEY LN
INDEPENDENCE, LA
ZIP 70443-470
Phone: (502) 394-2100

The provider's authorized official is Deena G. Ombres .
The authorized official title is Assoc. Gen. Counsel/privacy Officer and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 2/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesLOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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