Organization · Type 2 NPI
South Louisiana Community Home Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Thibodaux, LA
Practice location
602 Fairway Dr
Thibodaux, LA 70301-3726
Fax (337) 546-6827
Mailing address
PO Box 1287
Eunice, LA 70535-1287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | PENDING (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.
2 other providers at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Thibodaux
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- Lafourche ArcIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Thibodaux, LA NPI 1275685778
- Lafourche ArcIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Thibodaux, LA NPI 1366594863
- Lafourche ArcIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Thibodaux, LA NPI 1992857494
About NPI 1922317890
South Louisiana Community Home Inc.'s National Provider Identifier is 1922317890, issued on Sep 27, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Thibodaux, LA. The record was last updated on Sep 27, 2010.