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NPI 1306089594 · Intellectual Disabilities Intermediate Care Facility · Alexandria, LA
Provider details
- NPI number
- 1306089594
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Westside Habilitation Center
- Authorized official
- Christina Bolton, Administrator
- License
- 1052 (LA)
Practice location
5621 Hera St
Alexandria, LA 71303-2212
Phone: (318) 487-1249
Fax: (318) 487-1248
Mailing address
Po Box 7917
Alexandria, LA 71306-0917
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2009-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.