Westside Habilitation Center
NPI #1154358125 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1154358125
- Entity Type
- Organization
- Organization Name
- Westside Habilitation Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WESTSIDE HABILITATION CENTER, INC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Nov 5, 2009
Practice Location
- Address
- 2987 N BOLTON AVE
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71303-4512
- Phone
- (318) 473-1880
Authorized Official
- Name
- CHRISTINA BONNETTE BOLTON
- Title
- ADMINISTRATOR
- Phone
- (318) 445-1551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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