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NPI Code Detail

MEDICARE: CLAIRE HOUSE FOR WOMEN AND CHILDREN

MEDICARE: CLAIRE HOUSE FOR WOMEN AND CHILDREN
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
1324500000XSubstance Abuse Rehabilitation Facility211LA

General Provider Information

NPI Number : 1205191525
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAIRE HOUSE FOR WOMEN AND CHILDREN
Provider Business Mailing Address
First Line : 1101 SOUTHEAST BLVD
Second Line : BUILDING A
City : MORGAN CITY
State : LA
Zip : 70380-5933
Country : US
Telephone Number : 985-395-2424
Fax Number : 985-395-2626
Provider Business Practice Location Address
First Line : 1101 SOUTHEAST BLVD
Second Line : BUILDING A
City : MORGAN CITY
State : LA
Zip : 70380-5933
Country : US
Telephone Number : 985-395-2424
Fax Number : 985-395-2626
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MRS. CLARISSA BOUDREAUX ADAMS
Credential : BS
Telephone Number : 985-395-2424
Provider Enumeration Date : 07/12/2012
Last Update Date : 07/12/2012

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Directions to “CLAIRE HOUSE FOR WOMEN AND CHILDREN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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