Organization · Type 2 NPI

Bayou Region Supports & Services Center

Intellectual Disabilities Intermediate Care Facility · Thibodaux, LA

NPI number 1730348608 Active

Practice location

690 E 1st St
Thibodaux, LA 70301-3546

Call (980) 449-5181 Map

Fax (985) 449-5198

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X1024 (LA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

8 other providers at this address

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About NPI 1730348608

Bayou Region Supports & Services Center's National Provider Identifier is 1730348608, issued on Jun 5, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Thibodaux, LA. The record was last updated on Oct 20, 2008.