Certicareinc

NPI #1205995792 in Ruston, Louisiana

Provider Information

NPI Number
1205995792
Entity Type
Organization
Organization Name
Certicareinc
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 8, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
413 S FARMERVILLE ST
City
Ruston
ZIP Code
71270-4654
Phone
(318) 255-1077

Authorized Official

Name
MICHAEL DWAINE DOUGLAS SR.
Title
PRESIDEN
Phone
(318) 255-1077

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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