| Pinecrest Develpmental Center | |
|
100 Pinecrest Drive Pineville LA 71361 | |
| (318) 641-2000 | |
| (318) 641-2309 |
| Full Name | Pinecrest Develpmental Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Pinecrest Drive, 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 Develpmental Center Po Box 5191 Pineville LA 71361-5191 Ph: (318) 641-2000 | Pinecrest Develpmental Center 100 Pinecrest Drive Pineville LA 71361 Ph: (318) 641-2000 |
| NPI Number | 1568688513 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568688513 | NPI | - | NPPES |
| 1115657 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PCA 8338 (Louisiana) | Primary |
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