Organization
WESTBANK ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARASCALCO (OFFICE ADMINISTRATOR)
(504) 361-1131
Entity
Organization
Contact information
Practice address
523 COOK ST, GRETNA, LA 70053-3204
(504) 361-1131
(504) 361-9616
Mailing address
523 COOK ST, GRETNA, LA 70053-3204
(504) 361-1131
(504) 361-9616
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
14234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1936863
—
LA
05
—
1962597
—
LA
Enumeration date
05/18/2007
Last updated
07/27/2007
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