Organization
THE ARC - IBERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH M. FUSSELL ED.D. (EXECUTIVE DIRECTOR)
(225) 687-6042
Entity
Organization
Contact information
Practice address
24615 J. GERALD BERRET BLVD, PLAQUEMINE, LA 70764
(225) 687-4062
(225) 687-3272
Mailing address
PO BOX 264, 24615 J. GERALD BERRET BLVD, PLAQUEMINE, LA 70765-0264
(225) 687-4062
(225) 687-3272
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
2424
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1918351
—
LA
Enumeration date
04/04/2007
Last updated
04/23/2015
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