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CDF HEALTHCARE OF LA LLC NPI 1962736967


NPI Information

NPI: 1962736967
Provider Name: CDF HEALTHCARE OF LA, LLC

Doing Business As: MADELINE GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
98 TEER ST
DELHI, LA
ZIP 71232
Phone: (318) 878-5106
Get Directions

CDF HEALTHCARE OF LA, LLC is an intermediate care facility mentally retarded in Delhi, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CDF HEALTHCARE OF LA, LLC NPI is 1962736967. The provider is registered as an organization entity type.
The provider Is Doing Business As Madeline Group Home.

The provider's business location address is:

98 TEER ST
DELHI, LA
ZIP 71232
Phone: (318) 878-5106
Fax: (318) 878-8671

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

The enumeration date for this NPI number is 9/23/2009 and was last updated on 10/26/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities1059LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11800970MEDICAIDLOUISIANA

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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