Provider Demographics
NPI:1861169757
Name:PURPOSE RESIDENTIAL HOMES
Entity type:Organization
Organization Name:PURPOSE RESIDENTIAL HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:225-978-3447
Mailing Address - Street 1:3024 WESTFORK DR STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2252
Mailing Address - Country:US
Mailing Address - Phone:225-229-3254
Mailing Address - Fax:225-380-2171
Practice Address - Street 1:3024 WESTFORK DR STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2252
Practice Address - Country:US
Practice Address - Phone:225-229-3254
Practice Address - Fax:225-380-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities