NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC – #1386760098
dba ANDOVER GROUP HOME
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.


Contact Information

LOUISE S DAVIS RESIDENTIAL FACILITIES, LLC
dba ANDOVER GROUP HOME
22336 SUTTER LN
ZACHARY, LA70791-6003
 Phone: 225-654-3897
 Fax: 225-658-8396
 Website:
 

Specialty

Taxonomy

Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

320600000X
Indicates primary specialty
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NPI Information

NPI Number 1386760098
Entity Organization
Organization subpart N
Enumeration date 03/22/2007
Last updated 10/08/2008
Identifiers
LA License # 966
LA Medicaid 1711071

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