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“Intellectual Disabilities Intermediate Care Facility” (Mansfield, LA)

Location: Mansfield, LA
Taxonomy: Intellectual Disabilities Intermediate Care Facility.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1659581379 — PROVINCIAL COMMUNITY HOME INC
Practice Location Address:
416 GIBBS STREET
MANSFIELD LA
71052-2618
Practice Phone: 318-872-6817
1780894477 — PROVINCIAL COMMUNITY HOME INC
Practice Location Address:
167 POOLE ROAD
MANSFIELD LA
71052-5007
Practice Phone: 318-872-0206

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