# ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Magnolia Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043434715
- **Authorized official:** CAROLYN DERANGER (OFFICE MANAGER)
- **Authorized official phone:** (337) 363-5553

## Contact information

- **Practice address:** 310 NORTHWEST RAILROAD ST, VILLE PLATTE, LA 70586
- **Practice address phone:** (337) 363-5553
- **Practice address fax:** (337) 363-5974
- **Mailing address:** PO BOX 677, VILLE PLATTE, LA 70586-0677
- **Mailing address phone:** (337) 363-5553
- **Mailing address fax:** (337) 363-5974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 568 | LA | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1718173 | — | LA |