OrganizationActive
Certicare, Inc.
NPI 1457537169 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bossier City, LA
Provider details
- NPI number
- 1457537169
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Michael Douglas, President/Ceo
Practice location
3018 Old Minden Rd
1110
Bossier City, LA 71112-2446
Phone: (318) 742-4510
Fax: (318) 742-4096
Mailing address
107 West Alabama Ave
Ruston, LA 71270
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.