St Marys Resd Training School
Intermediate Care Facility, Intellectual Disabilities in Boyce, LA. Organization (NPI-2).
NPI number1104010909
StatusActive
Last updated in NPPESSep 5, 2007
Details
- NPI
- 1104010909
- Entity type
- Organization (NPI-2)
- Legal business name
- St Marys Resd Training School
- Organization subpart
- Yes
- Enumeration date
- Sep 5, 2007
- Last updated
- Sep 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 997 | LA | Yes |
Other names
- Sr Helen Home (Doing Business As)
Practice location
1702 Madeley AvenueBoyce, LA 71409-9312
Phone 318-442-3800
Mailing address
Po Drawer 7768Alexandria, LA 71306
Phone 318-442-3800 · Fax 318-449-8520
Authorized official
Christi Guillot
Administrative Service Director
3184456443
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