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General NPI Number Information
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NPI Number | 1356540470
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Entity Type | Organization
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Legal Business Name | HAMMOND DEVELOPMENTAL CENTER
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 45439 LIVE OAK DR
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City | HAMMOND
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State | LA
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Zip | 70401-4526
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Country | US
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Telephone | 225-567-3111
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Fax | 225-567-2017
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Provider Business Mailing Address
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Address Line | 19044 TRIPPI RD
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City | HAMMOND
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State | LA
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Zip | 70403-0743
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Country | US
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Telephone | 985-543-4291
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Fax | 985-543-4291
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Authorized Official
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Title or Position | FISCAL MANAGER
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Name | MS. CINDY PRITCHARD
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Credential |
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Telephone | 225-567-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 605
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License Number State | LA
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