Ddms of Louisiana No 2, LLC
NPI #1376411736 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1376411736
- 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
- 21106 WELLS RD
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-5302
- 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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