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LAFAYETTE ARC RESIDENT SERVICE NPI 1831310846


NPI Information

NPI: 1831310846
Provider Name: LAFAYETTE ARC RESIDENT SERVICE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
303 NEW HOPE RD
LAFAYETTE, LA
ZIP 70506
Phone: (337) 988-0640
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LAFAYETTE ARC RESIDENT SERVICE is a community based residential treatment facility, intellectual and/or developmental disabilities in Lafayette, LA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LAFAYETTE ARC RESIDENT SERVICE NPI is 1831310846. The provider is registered as an organization entity type.

The provider's business location address is:

303 NEW HOPE RD
LAFAYETTE, LA
ZIP 70506-407
Phone: (337) 988-0640
Fax: (337) 988-0813

The provider's authorized official is Glenn Weber .
The authorized official title is Director and has the following contact phone number (337) 988-6110.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities560LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11718262MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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