Organization
CALCASIEU ASSOCIATION FOR RETARDED CITIZENS
Active
Other names
Sale Road Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA O. LAFLEUR (FINANCE DIRECTOR)
(337) 433-3620
Entity
Organization
Contact information
Practice address
623 W SALE RD, LAKE CHARLES, LA 70605-3445
(337) 433-3620
(337) 439-1886
Mailing address
4100 SEN J BENNETT JOHNSTON AVE, LAKE CHARLES, LA 70615-5166
(337) 433-3620
(337) 439-1886
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715476
—
LA
Enumeration date
12/15/2006
Last updated
08/22/2020
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