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Organization

NORMAL LIFE OF LAFAYETTE, INC.

Active
Other names
Labadieville Community Home
Organization subpart
No

Provider details

NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 394-2100
Entity
Organization

Contact information

Practice address
2435 HIGHWAY 308, THIBODAUX, LA 70301-5839
(337) 233-2731
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/05/2017
Last updated
10/05/2017
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