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Contact Information

PINECREST DEVELOPMENTAL CENTER
100 PINECREST DRIVE
PINEVILLE, LA71351
 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 DEVELOPMENTAL CENTER

NPI # 1740406339
LBN Legal business name PINECREST DEVELOPMENTAL CENTER
Authorized official SHERRI EVANS - (MR DD REGIONAL ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # 6653
LA Medicaid 1564419
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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