GRANT COMMUNITY HOME is an intermediate care facility mentally retarded in Alexandria, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GRANT COMMUNITY HOME NPI is 1982862504. The provider is registered as an organization entity type.
The provider Is Doing Business As Westside Habilitation Center.
The provider's business location address is:
1212 WILSHIRE DR
ALEXANDRIA, LA
ZIP 71303-140
Phone: (318) 767-5865
Fax: (318) 767-5940
The provider's authorized official is Christina Bolton .
The authorized official title is Administrator and has the following contact phone number (318) 445-1551.
The CLIA number assigned to this NPI record is 19D0877747 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/30/2008 and was last updated on 11/5/2009.