Individual provider · Type 1 NPI
Glenda Gravouilla Poulan, LRST
Developmentally Disabled Services Day Training Agency · Lafayette, LA
Practice location
330 Guilbeau Rd
Lafayette, LA 70506
Fax (214) 602-4526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Developmentally Disabled Services Day Training Agency Primary | 251C00000X | None listed |
Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…
About NPI 1447742473
Glenda Gravouilla Poulan, LRST's National Provider Identifier is 1447742473, issued on Jun 5, 2018. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Lafayette, LA. The record was last updated on Jun 13, 2018.