Organization
EVANGELINE ASSOCIATION FOR RETARDED CITIZENS RESPITE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA DERANGER (OFFICE MANAGER)
(337) 363-2773
Entity
Organization
Contact information
Practice address
310 NW RAILROAD AVE, VILLE PLATTE, LA 70586-3739
(337) 363-2273
(337) 363-7330
Mailing address
PO BOX 182, VILLE PLATTE, LA 70586-0182
(337) 363-2273
(337) 363-7330
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
4083
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679151
—
LA
Enumeration date
03/09/2007
Last updated
08/22/2020
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