Mar Bud Trace Community Home

LBN: Pinecrest Developmental Center
Mar Bud Trace Community Home is an health care organization with primary practice located at 5602 Mar Bud Trace , Pineville LA 71361. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Pinecrest Developmental Center can be contacted via phone (318) 441-9905, or through Evans, Sherri A via phone (318) 641-2003.

Contact Information

Primary practice address
5602 Mar Bud Trace Pineville LA 71361
Phone: (318) 441-9905
Fax: (318) 441-9905
Website:
Map and Directions
Authorized official contact:
Name: Evans, Sherri A
Phone: (318) 641-2003

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 1612 Louisiana

Profile Details

NPI number 1679756324
LBN Legal business name Pinecrest Developmental Center
DBA Doing business as Mar Bud Trace Community Home
Authorized official Evans, Sherri A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated Dec 17th, 2007 - about 18 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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