Organization
ARC OF ACADIANA, INC.
Active
Other names
Hannie Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE CORMIER JACKSON (DIRECTOR OF RESIDENTIAL SERVICES)
(337) 367-6813
Entity
Organization
Contact information
Practice address
325 W BROUSSARD RD, LAFAYETTE, LA 70506-7813
(337) 367-6813
(337) 492-1010
Mailing address
6400 HIGHWAY 90 W, NEW IBERIA, LA 70560-7836
(337) 367-6813
(337) 492-1010
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098914
—
LA
05
—
1715131
—
LA
05
—
1716391
—
LA
05
—
1718106
—
LA
05
—
1718637
—
LA
05
—
2155059
—
LA
05
—
2313061
—
LA
Enumeration date
04/13/2017
Last updated
04/13/2017
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