Organization
THE ARC - IBERVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH M. FUSSELL ED.D. (EXECUTIVE DIRECTOR)
(225) 687-6042
Entity
Organization
Contact information
Practice address
24615 J. GERALD BERRET BLVD, PLAQUEMINE, LA 70764
(225) 687-4062
(225) 687-3272
Mailing address
PO BOX 264, 24615 J. GERALD BERRET BLVD, PLAQUEMINE, LA 70765-0264
(225) 687-4062
(225) 687-3272
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
2271
LA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2424
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950335
—
LA
Enumeration date
04/04/2007
Last updated
04/23/2015
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