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NPI Code Detail

MEDICARE: DDMS OF LOUISIANA NO 2, LLC

MEDICARE: DDMS OF LOUISIANA NO 2, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number : 1548138993
Entity Type Code : Organization
Provider Name (Legal Business Name) : DDMS OF LOUISIANA NO 2, LLC
Provider Business Mailing Address
First Line : 6600 FRANCE AVE S STE 350
Second Line :
City : EDINA
State : MN
Zip : 55435-1810
Country : US
Telephone Number : 800-388-5150
Fax Number :
Provider Business Practice Location Address
First Line : 10514 N RIDGE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70811-1751
Country : US
Telephone Number : 504-513-3159
Fax Number :
Authorized Official
Title or Position : VP & SR ASST GENERAL COUNSEL
Name : MARY PATRICIA RODENBERG-ROBERTS
Credential :
Telephone Number : 952-836-2234
Provider Enumeration Date : 10/27/2025
Last Update Date : 10/27/2025

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Directions to “DDMS OF LOUISIANA NO 2, LLC ” Practice Location

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