NPI 1811223480

Acadiana Region Supports and Services Center

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

Practice location

Address: 530 McMillian Ave, Iota, LA 70543
Phone: (337) 779-2121
Fax: (337) 821-9306
Mailing address: PO Box 218 224 Gremillion Circle, Iota, LA 70543-0218

Authorised official

Name: Samuel K McDaniel
Title: Mr Dd Regional Administrator
Phone: (337) 824-6250

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 10658 (LA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1811223480
Entity type: Organization
NPI issued: 2 Nov 2009
Record last updated: 2 Nov 2009

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.