# DONALDSONVILLE AARC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARY MARCOMBE HOME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821214321
- **Authorized official:** MRS. MARLENE BENOIT DOMINGUE RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (225) 473-4517

## Contact information

- **Practice address:** 1030 CLAY ST, DONALDSONVILLE, LA 70346-3518
- **Practice address phone:** (225) 473-4517
- **Practice address fax:** (225) 473-4517
- **Mailing address:** 1030 CLAY ST, PO BOX 624, DONALDSONVILLE, LA 70346-3518
- **Mailing address phone:** (225) 473-4517
- **Mailing address fax:** (225) 473-4517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | PCA6675 | LA | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020