Organization · Type 2 NPI
Edwin Drive Group Home
Intellectual Disabilities Intermediate Care Facility · Rayne, LA
NPI number
1174495949
Active
Practice location
1505 Edwin St
Rayne, LA 70578-6603
Mailing address
6400 Highway 90 W
New Iberia, LA 70560-7836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1174495949
Edwin Drive Group Home's National Provider Identifier is 1174495949, issued on Sep 22, 2025. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Rayne, LA. The record was last updated on Sep 22, 2025.