Organization
PELTIER-LAWLESS DEVELOPMENTAL CENTER
Active
Other names
Beaujolais Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE FOLSE (REGIONAL ASSOC. ADMINISTRATOR MRDD2)
(985) 449-5181
Entity
Organization
Contact information
Practice address
318 MARCELLO BLVD, THIBODAUX, LA 70301
(985) 447-0912
(985) 449-5198
Mailing address
690 E 1ST ST, THIBODAUX, LA 70301-3546
(985) 449-5181
(985) 449-5198
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712311
—
LA
Enumeration date
04/24/2007
Last updated
08/22/2020
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