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Organization
ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC
Active
Organization
ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC
Active
Other names
West Magnolia Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN DERANGER (OFFICE MANAGER)
(337) 363-5553
Entity
Organization
Contact information
Practice address
310 NORTHWEST RAILROAD ST, VILLE PLATTE, LA 70586
(337) 363-5553
(337) 363-5974
Mailing address
PO BOX 677, VILLE PLATTE, LA 70586-0677
(337) 363-5553
(337) 363-5974
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
568
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718173
—
LA
Enumeration date
04/12/2007
Last updated
08/22/2020
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