Rc Moore Sil
Rc Moore Sil is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
200 S Alvin StBastrop, LA 71220-4105
Phone: (318) 281-4889
Fax: (318) 281-4891
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence SIL 8083 (LA) |
|---|
Record details
| NPI number | 1265658934 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smith — Executive Director · (318) 281-4889 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 200 S Alvin St, Bastrop, LA 71220-4105 |
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