Organization
THE ARC OF IBERIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNY PATTON (EXECUTIVE DIRECTOR)
(337) 367-6813
Entity
Organization
Contact information
Practice address
3716 REDWOOD DR, NEW IBERIA, LA 70560, NEW IBERIA, LA 70560-3379
(337) 367-6813
(337) 367-6908
Mailing address
1201 BRASHEAR AVE, SUITE 332, MORGAN CITY, LA 70380-1361
(337) 367-6813
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SIL 6694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529486
—
LA
Enumeration date
04/30/2007
Last updated
08/22/2020
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