Organization
THE ARC OF SABINE INC
Active
Other names
R A HALEY COMMUNITY HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN WAYNE MARTINEZ (EXEC DIRECTOR)
(318) 256-2025
Entity
Organization
Contact information
Practice address
712 MIDDLE CREEK RD, MANY, LA 71449-4502
(318) 256-6203
(318) 256-0143
Mailing address
PO BOX 1150, MANY, LA 71449-1150
(318) 256-2025
(318) 256-0143
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1716278
—
LA
01
—
19G467
DHH PROVIDER #
LA
Enumeration date
03/07/2007
Last updated
08/22/2020
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