WESTSIDE HABILITATION CENTER NPI 1588840144

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 1588840144. The provider is registered as an organization entity type.
The provider Is Doing Business As Fillmore Group Home.

The provider's business location address is:

1155 PRESIDENTS DRIVE
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 561-0255
Fax: (318) 561-0265

The provider's authorized official is Christina B 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 1/14/2008 and was last updated on 11/5/2009.

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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