Organization · Type 2 NPI
Calcasieu Association for Retarded Citizens
Intellectual Disabilities Intermediate Care Facility · Lake Charles, LA
NPI number
1770796906
Active
Practice location
2412 Third Street
Lake Charles, LA 70615
Fax (337) 439-1886
Mailing address
4100 J. Bennett Johnston Ave.
Lake Charles, LA 70615-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 376 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1770796906
Calcasieu Association for Retarded Citizens's National Provider Identifier is 1770796906, issued on May 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 22, 2020.