Louise S Davis Residential Facilities, LLC
Louise S Davis Residential Facilities, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1411 Claiborne AveShreveport, LA 71103-4203
Phone: (337) 439-6600
Fax: (337) 439-6647
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 970 (LA) |
|---|
Record details
| NPI number | 1720104466 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kendall Broussard — Managing Member · (337) 439-6600 |
| Other names | Ivy Group Home |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1 Lakeshore Dr, Suite 1900, Lake Charles, LA 70629-0100 |
Other providers in Shreveport
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Holy Angels Residential Facility
10450 Ellerbe Rd, Shreveport, LA 71106-7712 · (318) 797-8500
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Louise S Davis Residential Facilities, LLC
1411 Claiborne Ave, Shreveport, LA 71103-4203 · (337) 439-6600