St. Mary'S Residential Community And Services
Intermediate Care Facility, Intellectual Disabilities in Boyce, LA. Organization (NPI-2).
NPI number1982248787
StatusActive
Last updated in NPPESApr 7, 2026
Details
- NPI
- 1982248787
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Mary'S Residential Community And Services
- Organization subpart
- Yes
- Enumeration date
- Nov 5, 2019
- Certification date
- Apr 7, 2026
- Last updated
- Apr 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Faith Manor (Doing Business As)
Practice location
6715 Highway 1Boyce, LA 71409-9221
Phone 318-445-6443 · Fax 318-449-8520
Mailing address
Po Box 7768Alexandria, LA 71306-0768
Phone 318-445-6443 · Fax 318-449-8520
Authorized official
Khristy Ellis
Controller
3184456443
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