OrganizationActive
Certicare, Inc
NPI 1962697375 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ruston, LA
Provider details
- NPI number
- 1962697375
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Michael Douglas, President/Ceo
Practice location
413 S Farmerville St
Ruston, LA 71270-4654
Phone: (318) 255-1077
Fax: (318) 254-8250
Mailing address
413 S Farmerville St
Ruston, LA 71270-4654
Registry dates
- Enumerated
- 2007-09-10
- Last updated
- 2007-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.