Ddms Of Louisiana No 2, LLC
Intermediate Care Facility, Intellectual Disabilities in Bogalusa, LA. Organization (NPI-2).
NPI number1891663258
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1891663258
- Entity type
- Organization (NPI-2)
- Legal business name
- Ddms Of Louisiana No 2, LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2025
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
59415 Highway 60Bogalusa, LA 70427-0441
Phone 504-513-3159
Mailing address
6600 France Ave S Ste 350Edina, MN 55435-1810
Phone 800-388-5150
Authorized official
Mary Patricia Rodenberg-Roberts
Vp & Sr Asst General Counsel
9528362234
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