Organization · Type 2 NPI

Acadiana Region Supports & Services Center

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Iota, LA

NPI number 1861532855 Active

Practice location

224 Gremillion Circle
Iota, LA 70543

Fax (337) 821-9306

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	4928 (LA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

13 other providers at this address

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NPI record

NPI: 1861532855
Entity type: Organization (Type 2)
Issued: Feb 7, 2007
Last updated: Oct 17, 2007
Status: Active
Subpart: Yes of Acadiana Region Supports & Services Center

Other names

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Sil · other name

Authorized official

Mr. Samuel K McDaniel
MR DD Regional Administrator
(337) 824-6250

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About NPI 1861532855

Acadiana Region Supports & Services Center's National Provider Identifier is 1861532855, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Iota, LA. The record was last updated on Oct 17, 2007.