# ARC OF ACADIANA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackie Street Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902442395
- **Authorized official:** BRANDI LEE BOOK STUTES (RESIDENTIAL DIRECTOR)
- **Authorized official phone:** (337) 367-6813

## Contact information

- **Practice address:** 106 JACKIE STREET, RAYNE, LA 70578-7056
- **Practice address phone:** (337) 367-6813
- **Mailing address:** 6400 HIGHWAY 90 W, NEW IBERIA, LA 70560-7836
- **Mailing address phone:** (337) 367-6813

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2019
- **Last updated:** 11/21/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1098914 | — | LA |
| 05 | — | 1715131 | — | LA |
| 05 | — | 1716391 | — | LA |
| 05 | — | 1718106 | — | LA |
| 05 | — | 1718637 | — | LA |
| 05 | — | 1724971 | — | LA |
| 05 | — | 2155059 | — | LA |
| 05 | — | 2313061 | — | LA |