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Contact Information

PINECREST DEVELPMENTAL CENTER
100 PINECREST DR
PINEVILLE, LA71361
 Phone: 318-641-2000
 Fax: 318-641-2309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PINECREST DEVELPMENTAL CENTER

NPI # 1669690301
LBN Legal business name PINECREST DEVELPMENTAL CENTER
Authorized official SHERRI EVANS - (MR DD REGIONAL ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # SIL 8189
LA Medicaid 1115665
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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