Normal Life of Lafayette, Inc.

NPI #1194095745 in Brusly, Louisiana

Provider Information

NPI Number: 1194095745
Entity Type: Organization
Organization Name: Normal Life of Lafayette, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 5051 RAYMOND LABAUVE RD
City: Brusly
State: Louisiana
ZIP Code: 70719-2337
Phone: (225) 778-5175

Authorized Official

Name: MS. DEENA G. OMBRES
Title: ASSOC. GEN. COUNSEL/PRIVACY OFFICER
Phone: (502) 394-2387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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