Organization
ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC
Active
Other names
West Magnolia Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN DERANGER (OFFICE MANAGER)
(337) 363-5553
Entity
Organization
Contact information
Practice address
310 NORTHWEST RAILROAD ST, VILLE PLATTE, LA 70586
(337) 363-5553
(337) 363-5974
Mailing address
PO BOX 677, VILLE PLATTE, LA 70586-0677
(337) 363-5553
(337) 363-5974
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
568
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718173
—
LA
Enumeration date
04/12/2007
Last updated
08/22/2020
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