Organization
ACADIANA CIRCLE OF FRIENDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JANES (OWNER)
(337) 856-0460
Entity
Organization
Contact information
Practice address
2403 BONIN RD, YOUNGSVILLE, LA 70592-5658
(337) 856-0460
Mailing address
2403 BONIN RD, YOUNGSVILLE, LA 70592-5658
(337) 856-0460
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551732
—
LA
Enumeration date
10/24/2006
Last updated
08/22/2020
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