# ACADIANA REGION SUPPORTS & SERVICES CENTER

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

## Provider details

- **NPI number:** 1548300577
- **Authorized official:** MR. SAMUEL K MCDANIEL (MR DD REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (337) 824-6250

## Contact information

- **Practice address:** 224 GREMILLION CIRCLE, IOTA, LA 70543
- **Practice address phone:** (337) 821-9301
- **Practice address fax:** (337) 821-9306
- **Mailing address:** PO BOX 218, 224 GREMILLION CIRCLE, IOTA, LA 70543
- **Mailing address phone:** (337) 824-6250
- **Mailing address fax:** (337) 821-9306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | LA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 11/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1712051 | — | LA |