Organization
ARC OF ACADIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI LEE BOOK STUTES (DIRECTOR RESIDENTIAL SERVICES)
(337) 367-6813
Entity
Organization
Contact information
Practice address
608 LISA ST, RAYNE, LA 70578-7056
(337) 367-6813
Mailing address
6400 HIGHWAY 90 W, NEW IBERIA, LA 70560-7836
(337) 367-6813
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013948520
—
LA
05
—
1083148381
—
LA
05
—
1104857614
—
LA
05
—
1134479066
—
LA
05
—
1295766707
—
LA
05
—
1306962717
—
LA
05
—
1396219101
—
LA
05
—
1497790679
—
LA
05
—
1588695191
—
LA
05
—
1720019235
—
LA
05
—
1740575802
—
LA
05
—
1811928328
—
LA
05
—
1922039437
—
LA
05
—
1972854925
—
LA
Enumeration date
08/02/2019
Last updated
08/02/2019
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