Organization
GOODWILL INDUSTRIES OF ACADIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERIN L BOUDREAUX (DIRECTOR OF SUPPORTED EMPLOYMNET)
(337) 769-7650
Entity
Organization
Contact information
Practice address
1225 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5707
(337) 769-7650
(337) 769-7659
Mailing address
1225 KALISTE SALOOM RD, LAFAYETTE, LA 70508-5707
(337) 769-7650
(337) 769-7659
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC8178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343084
—
LA
Enumeration date
08/28/2014
Last updated
08/28/2014
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