Organization
ACADIANA REGION SUPPORTS & SERVICES CENTER
Active
Other names
OPELOUSAS COMMUNITY HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL K MCDANIEL (MR DD REGIONAL ADMINISTRATOR)
(337) 824-6250
Entity
Organization
Contact information
Practice address
1107 W. LINWOOD DR, OPELOUSAS, LA 70570-6919
(337) 821-9301
(337) 821-9306
Mailing address
PO BOX 218, 224 GREMILLION CIRCLE, IOTA, LA 70543-0218
(337) 824-6250
(337) 821-9306
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
319
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712175
—
LA
Enumeration date
02/07/2007
Last updated
10/18/2007
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