Ddms of Louisiana No 2, LLC

NPI #1982597704 in Metairie, Louisiana

Provider Information

NPI Number
1982597704
Entity Type
Organization
Organization Name
Ddms of Louisiana No 2, LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 30, 2025
Last Updated
May 30, 2025

Practice Location

Address
4704 MEADOWDALE ST
ZIP Code
70006-4036
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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