Organization
LAFAYETTE ARC RESIDENT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN WEBER (DIRECTOR)
(337) 988-6110
Entity
Organization
Contact information
Practice address
303 NEW HOPE RD, LAFAYETTE, LA 70506-7407
(337) 988-0640
(337) 988-0813
Mailing address
303 NEW HOPE RD, LAFAYETTE, LA 70506-7407
(337) 988-6110
(337) 984-1102
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
411
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1716553
—
LA
Enumeration date
05/01/2007
Last updated
08/22/2020
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