Organization
THE ARC OF IBERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY PATTON (EXECUTIVE DIRECTOR)
(337) 367-6813
Entity
Organization
Contact information
Practice address
623 WALTON ST, NEW IBERIA, LA 70560-4446
(337) 364-7215
(337) 364-5231
Mailing address
3713 REDWOOD DR, NEW IBERIA, LA 70560
(337) 367-6813
(337) 367-6908
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC 8985
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934950
—
LA
Enumeration date
06/30/2006
Last updated
08/22/2020
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