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NPI 1720003395 · Intellectual Disabilities Intermediate Care Facility · Leesville, LA
Provider details
- NPI number
- 1720003395
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Westside Habilitation Center
- Organization subpart
- Yes
- Authorized official
- Christina Bolton, Administrator(318) 445-1551
- License
- 907 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 South Tenth Street
Leesville, LA 71446
Phone: (337) 239-9120
Fax: (337) 239-9128
Street-level locationGet directions
Mailing address
Po Box 7917
Alexandria, LA 71306-0917
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2009-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.