Organization
ACADIANA REGIONAL SUPPORTS & SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL K MCDANIEL (MR/DD REGIONAL ADMINISTRATOR)
(337) 824-6250
Entity
Organization
Contact information
Practice address
224 GREMILLION CIR, IOTA, LA 70543-3250
(337) 821-9301
(337) 821-9306
Mailing address
224 GREMILLION CIR, P. O. BOX 218, IOTA, LA 70543-3250
(337) 821-9301
(337) 821-9306
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2326
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559539
—
LA
Enumeration date
05/26/2006
Last updated
10/16/2007
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