Ddms Of Louisiana No 2, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Baton Rouge, LA. Organization (NPI-2).
NPI number1982000915
StatusActive
Last updated in NPPESMar 5, 2023
Details
- NPI
- 1982000915
- Entity type
- Organization (NPI-2)
- Legal business name
- Ddms Of Louisiana No 2, LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2014
- Certification date
- Mar 5, 2023
- Last updated
- Mar 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | LA | Yes |
Practice location
11055 Mollylea DrBaton Rouge, LA 70815-5243
Phone 504-712-1323
Mailing address
313 Congress StBoston, MA 02210-1218
Phone 800-388-5150 · Fax 617-790-4271
Authorized official
Brett Ian Cohen
Coo
8003885150
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