NORMAL LIFE OF LAFAYETTE INC. NPI 1275804577

NPI Information

NORMAL LIFE OF LAFAYETTE, INC. is an intermediate care facility mentally retarded in Baton Rouge, LA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. NORMAL LIFE OF LAFAYETTE, INC. NPI is 1275804577. The provider is registered as an organization entity type.
The provider Other Name Is Ponderosa Group Home.

The provider's business location address is:

624 PONDEROSA DR
BATON ROUGE, LA
ZIP 70819-027
Phone: (225) 778-5278

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 1/18/2012 and was last updated on 1/18/2012.

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:

Other Identifiers

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