Ddms of Louisiana No 2, LLC

NPI #1255209615 in Thibodaux, Louisiana

Provider Information

NPI Number
1255209615
Entity Type
Organization
Organization Name
Ddms of Louisiana No 2, LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 27, 2025
Last Updated
Oct 27, 2025

Practice Location

Address
614 MAGNOLIA ST
ZIP Code
70301-2126
Phone
(504) 513-3159

Authorized Official

Name
MARY PATRICIA RODENBERG-ROBERTS
Title
VP & SR ASST GENERAL COUNSEL
Phone
(952) 836-2234

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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