Organization
THE ARC OF EAST ASCENSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN S LABICHE CRC (EXECUTIVE DIRECTOR)
(225) 621-2000
Entity
Organization
Contact information
Practice address
1122 SE ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-2000
(225) 621-2022
Mailing address
1122 SE ASCENSION COMPLEX BLVD, GONZALES, LA 70737-4265
(225) 621-2000
(225) 621-2022
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1937339
—
LA
Enumeration date
05/03/2007
Last updated
06/29/2022
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