Organization
ACADIANA CIRCLE OF FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JANES (OWNER)
(337) 856-0460
Entity
Organization
Contact information
Practice address
2403 BONIN RD, YOUNGSVILLE, LA 70592-5658
(337) 856-0460
Mailing address
2403 BONIN RD, YOUNGSVILLE, LA 70592-5658
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551741
—
LA
Enumeration date
04/03/2007
Last updated
08/22/2020
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