WIMOORE INC
Residential Treatment Facilities at Alvin St, Bastrop, LA

License number
Louisiana 633
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. DAVID E SMITH
Title: EXECUTIVE DIRECTOR
Phone: (318) 281-4889
Address
Address
200 S Alvin St, Bastrop, LA 71220
National Provider ID: 1023234820
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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