Supported Independent Living Prov Ider

LBN: Columbia Developmental Center
Supported Independent Living Prov Ider is an health care organization with primary practice located at 132 Highway 850 , Columbia LA 71418-1559. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Columbia Developmental Center can be contacted via phone (318) 649-6097, or through Harrell, Michael Anthony via phone (318) 649-6097.

Contact Information

Primary practice address
132 Highway 850 Columbia LA 71418-1559
Phone: (318) 649-6097
Fax: (318) 649-2868
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Michael Anthony
Phone: (318) 649-6097

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X SIL4246 Louisiana

Profile Details

NPI number 1053531970
LBN Legal business name Columbia Developmental Center
DBA Doing business as Supported Independent Living Prov Ider
Authorized official Harrell, Michael Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053531970 NPPES
Louisiana MEDICAID 1159620

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