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Organization
BAYOU REGION SUPPORTS & SERVICE CENTER
Active
Organization
BAYOU REGION SUPPORTS & SERVICE CENTER
Active
Other names
Arms Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE FOLSE (ASSOC ADMINISTRATOR MRDD2)
(985) 449-5181
Entity
Organization
Contact information
Practice address
690 E 1ST ST, THIBODAUX, LA 70301-3546
(504) 449-5181
(504) 449-5198
Mailing address
690 E 1ST ST, THIBODAUX, LA 70301-3546
(504) 449-5181
(504) 449-5198
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1038
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
LA
Enumeration date
11/14/2008
Last updated
11/14/2008
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