Andover Group Home
LBN: Louise S Davis Residential Facilities, Llc
Andover Group Home is an health care organization with primary practice located at 22336 Sutter Ln , Zachary LA 70791-6003. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Louise S Davis Residential Facilities, Llc can be contacted via phone (225) 654-3897, or through Broussard, Kendall A via phone (337) 439-6600.
Contact Information
Primary practice address
22336 Sutter Ln
Zachary LA 70791-6003
Phone: (225) 654-3897
Fax: (225) 658-8396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 966 | Louisiana |
Profile Details
| NPI number | 1386760098 |
|---|---|
| LBN Legal business name | Louise S Davis Residential Facilities, Llc |
| DBA Doing business as | Andover Group Home |
| Authorized official | Broussard, Kendall A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Oct 8th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386760098 | NPPES |
| Louisiana | MEDICAID | 1711071 |
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