# THE ARC OF EAST ASCENSION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083934756
- **Authorized official:** MR. DARRYL HAMBRICK (PRESIDENT)
- **Authorized official phone:** (225) 647-5711

## Contact information

- **Practice address:** 1122 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
- **Practice address phone:** (225) 621-2000
- **Practice address fax:** (225) 621-2022
- **Mailing address:** 1122 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
- **Mailing address phone:** (225) 621-2000
- **Mailing address fax:** (225) 621-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | RC 13060 | LA | Yes |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 06/04/2010
