WESTSIDE HABILITATION CENTER NPI 1144491960

NPI Information

WESTSIDE HABILITATION CENTER is an intermediate care facility mentally retarded in Alexandria, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. WESTSIDE HABILITATION CENTER NPI is 1144491960. The provider is registered as an organization entity type.
The provider Is Doing Business As Harrison Group Home.

The provider's business location address is:

5708 NORTH DR
ALEXANDRIA, LA
ZIP 71301-542
Phone: (318) 442-6540
Fax: (318) 442-6541

The provider's authorized official is Christina Bonnette Bolton .
The authorized official title is Administrator and has the following contact phone number (318) 445-1551.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 11/5/2009.

Taxonomy Codes

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Other Identifiers

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