Louise S Davis Residential Facilities, LLC
NPI #1720104466 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1720104466
- Entity Type
- Organization
- Organization Name
- Louise S Davis Residential Facilities, LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1411 CLAIBORNE AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-4203
- Phone
- (337) 439-6600
Authorized Official
- Name
- KENDALL A BROUSSARD
- Title
- MANAGING MEMBER
- Phone
- (337) 439-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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