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Organization

GOODWILL INDUSTRIES OF ACADIANA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHERIN BOUDREAUX (DIRECTOR OF SUPPORTED EMPLOYMENT)
(337) 765-7650
Entity
Organization

Contact information

Practice address
1225 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5707
(337) 765-7650
(337) 765-7659
Mailing address
1225 KALISTE SALOOM RD, P.O. BOX 62270, LAFAYETTE, LA 70508-5707
(337) 765-7650
(337) 765-7659

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC8178
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2343084
LA
Enumeration date
04/20/2010
Last updated
08/26/2014
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