Northlake Supports and Services Center
Northlake Supports and Services Center is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Independence, Louisiana. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
27683 Ivy Springs DrIndependence, LA 70443
Phone: (225) 567-3111
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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 |
|---|
Record details
| NPI number | 1710150446 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Northlake Supports and Services Center |
| Authorized official | Ronald Williams — Administrator · (225) 567-3111 |
| Other names | Ivy Springs Community Home |
| NPI enumerated | April 2, 2008 |
| Last updated in NPPES | April 2, 2008 |
| Mailing address | 45439 Live Oak Dr, Hammond, LA 70401-4526 |