THE VIRGINIA HOUSE, LLC

SHREVEPORT, LA
NPI1316665466
Entity TypeOrganization
Authorized ContactCLEVELAND MOUTON
President
318-820-6941
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Additional Taxonomies322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date2022-08-16
Last Update Date2024-01-25
Business Address
THE VIRGINIA HOUSE, LLC
344 BOULEVARD ST
SHREVEPORT, LA 71104-2422
Phone number: 318-820-6941
Mailing Address
THE VIRGINIA HOUSE, LLC
344 BOULEVARD ST
SHREVEPORT, LA 71104-2422
Phone number: 318-820-6941
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