NPI 1053621433

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Organisation Intellectual Disabilities Intermediate Care Facility Thibodaux, LA

Practice location

Address: 614 Magnolia Street, Thibodaux, LA 70301
Phone: (337) 546-0667
Fax: (337) 546-6827
Mailing address: 246 Dan Drive, Eunice, LA 70535

Authorised official

Name: Frankie Joseph Lafleur
Title: Owner
Phone: (337) 546-0667

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 19G638 (LA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Louisiana →

Registry record

NPI: 1053621433
Entity type: Organization
NPI issued: 19 Oct 2010
Record last updated: 19 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.