Provider Demographics
NPI:1437288727
Name:PREFERRED LIVING INC
Entity Type:Organization
Organization Name:PREFERRED LIVING INC
Other - Org Name:THIRTEENTH ST COMMUNITY HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-734-4043
Mailing Address - Street 1:113 SW RAILROAD AVE
Mailing Address - Street 2:P O BOX 738
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-4525
Mailing Address - Country:US
Mailing Address - Phone:337-363-2464
Mailing Address - Fax:
Practice Address - Street 1:113 SW RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4525
Practice Address - Country:US
Practice Address - Phone:337-363-2464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1718491315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities