# THE ARC - IBERVILLE

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

## Provider details

- **NPI number:** 1215059183
- **Authorized official:** DR. ELIZABETH M. FUSSELL ED.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (225) 687-6042

## Contact information

- **Practice address:** 24615 J. GERALD BERRET BLVD, PLAQUEMINE, LA 70764
- **Practice address phone:** (225) 687-4062
- **Practice address fax:** (225) 687-3272
- **Mailing address:** PO BOX 264, 24615 J. GERALD BERRET BLVD, PLAQUEMINE, LA 70765-0264
- **Mailing address phone:** (225) 687-4062
- **Mailing address fax:** (225) 687-3272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 2424 | LA | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 04/23/2015