St. Mary's Residential Training School

NPI #1023688793 in Boyce, Louisiana

Provider Information

NPI Number
1023688793
Entity Type
Organization
Organization Name
St. Mary's Residential Training School
Subpart
Yes (part of a larger organization)
Parent Organization
ST. MARY'S RESIDENTIAL TRAINING SCHOOL
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jun 25, 2021
Last Updated
Jun 25, 2021

Practice Location

Address
1909 HUIE DELLMON AVE
City
Boyce
ZIP Code
71409-9329
Phone
(318) 445-6443

Authorized Official

Name
CHRISTINA M GUILLOT
Title
ADMINISTRATOR
Phone
(318) 445-6443

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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