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Organization

CALCASIEU ASSOCIATION FOR RETARDED CITIZENS

Active
Other names
CARC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWARD STROUD JR. EDD (EXECUTIVE DIRECTOR)
(337) 433-3620
Entity
Organization

Contact information

Practice address
4100 SN J BENNETT JOHNSTON AVENUE, LAKE CHARLES, LA 70615-5166
(337) 433-0398
(337) 489-1886
Mailing address
4100 SN J BENNETT JOHNSTON AVE, LAKE CHARLES, LA 70615-5166
(337) 433-0398
(337) 489-1886

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2466
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1435171
LA
05
1460061
LA
05
1666289
LA
05
1715476
LA
05
1715662
LA
05
1715816
LA
05
1715824
LA
05
1716065
LA
05
1716219
LA
05
1815866
LA
05
1913588
LA
05
1915866
LA
05
1931551
LA
05
1955957
LA
05
1955965
LA
Enumeration date
07/19/2005
Last updated
08/22/2020
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