Lynn Lane Community Home

NPI #1184839516 in Hammond, Louisiana

Provider Information

NPI Number: 1184839516
Entity Type: Organization
Organization Name: Lynn Lane Community Home
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: #3 LYNN LANE
City: Hammond
State: Louisiana
ZIP Code: 70401
Phone: (985) 543-4006

Authorized Official

Name: MR. KINDRED HODGE
Title: ADMINISTRATOR
Phone: (225) 567-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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