OrganizationActive
Certicare,inc.
NPI 1467630475 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bossier City, LA
Provider details
- NPI number
- 1467630475
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Douglas, President/Ceo(318) 742-4510
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3018 Old Minden Rd
Suite 1110
Bossier City, LA 71112-2446
Phone: (318) 742-4510
Fax: (318) 742-4096
Approximate (ZIP-level) locationGet directions
Mailing address
3018 Old Minden Rd
Bossier City, LA 71112-2446
Registry dates
- Enumerated
- 2008-02-01
- Last updated
- 2008-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.