CDF HEALTHCARE OF LA LLC NPI 1790901205

NPI Information

CDF HEALTHCARE OF LA, LLC is an intermediate care facility mentally retarded in Tallulah, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CDF HEALTHCARE OF LA, LLC NPI is 1790901205. The provider is registered as an organization entity type.
The provider Is Doing Business As Richmond Group Home.

The provider's business location address is:

100 CAROLINE ST
TALLULAH, LA
ZIP 71282-508
Phone: (318) 574-5102
Fax: (318) 878-8671

The provider's authorized official is Joe Debolt .
The authorized official title is Administrator and has the following contact phone number (318) 878-5106.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 6/9/2010.

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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