Organization
THE ARC OF EAST ASCENSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL HAMBRICK (PRESIDENT)
(225) 647-5711
Entity
Organization
Contact information
Practice address
1122 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-2000
(225) 621-2022
Mailing address
1122 E ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-2000
(225) 621-2022
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
RC 13060
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093937328
—
LA
05
—
1265654594
—
LA
05
—
1285856518
—
LA
05
—
1356563688
—
LA
05
—
1639391964
—
LA
05
—
1902028236
—
LA
05
—
1982721247
—
LA
Enumeration date
06/04/2010
Last updated
06/04/2010
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