Organization · Type 2 NPI
Fairway Community Home
Intellectual Disabilities Intermediate Care Facility · Thibodaux, LA
NPI number
1962712356
Active
Practice location
602 Fairway Dr
Thibodaux, LA 70301-3726
Fax (337) 546-6827
Mailing address
246 Dan Dr
Eunice, LA 70535-6860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 19G624 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
2 other providers at this address
Other intellectual disabilities intermediate care facility providers in Thibodaux
- Peltier - Lawless Developmental CenterIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1023237880
- Lafourche ArcIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1043362692
- Peltier - Lawless Developmental CenterIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1053530865
- Arms Community HomeIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1053621433
- DDMS of Louisiana No 2, LLCIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1184592545
- DDMS of Louisiana No 2, LLCIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1255209615
- Peltier-Lawless Developmental CenterIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1295866085
- Peltier-Lawless Developmental CenterIntellectual Disabilities Intermediate Care Facility Thibodaux, LA NPI 1386863009
About NPI 1962712356
Fairway Community Home's National Provider Identifier is 1962712356, issued on Oct 19, 2010. 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 19, 2010.