Organization
ARC OF ACADIANA
Active
Other names
Iberia Oaks Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE JACKSON (DIRECTOR OF RESIDENTIAL SERVICES)
(337) 367-6813
Entity
Organization
Contact information
Practice address
2217 KRAMER DR, NEW IBERIA, LA 70560-7024
(337) 367-6813
(337) 492-1010
Mailing address
PO BOX 9610, NEW IBERIA, LA 70562-9610
(337) 367-6813
(337) 492-1010
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098914
—
LA
05
—
1715131
—
LA
05
—
1716391
—
LA
05
—
1718106
—
LA
05
—
1718637
—
LA
05
—
2155059
—
LA
05
—
2313061
—
LA
Enumeration date
11/13/2013
Last updated
11/13/2013
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