Pinecrest Developmental Center | |
2969 Highway 28 E Pineville LA 71360-5716 | |
(318) 641-2000 | |
(318) 641-2309 |
Full Name | Pinecrest Developmental Center |
---|---|
Speciality | Community/behavioral Health |
Location | 2969 Highway 28 E, Pineville, Louisiana |
Authorized Official Name and Position | Sherri A Evans (MR DD REGIONAL ADMINISTRATOR) |
Authorized Official Contact | 3186412003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pinecrest Developmental Center Po Box 5191 Pineville LA 71361-5191 Ph: (318) 641-2000 | Pinecrest Developmental Center 2969 Highway 28 E Pineville LA 71360-5716 Ph: (318) 641-2000 |
NPI Number | 1245458991 |
---|---|
Provider Enumeration Date | 04/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245458991 | NPI | - | NPPES |
1460257 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | ADC9419 (Louisiana) | Primary |
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