Organization
BEAUREGARD ARC
Active
Organization
BEAUREGARD ARC
Active
Other names
Beaueregard Association for Retarded Citizens Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKIE LYNN HICKMAN (EXECUTIVE DIRECTOR)
(337) 462-2513
Entity
Organization
Contact information
Practice address
1209 W SHIRLEY ST, DERIDDER, LA 70634
(337) 462-2513
(337) 462-2513
Mailing address
1209 W SHIRLEY ST, PO BOX 13, DERIDDER, LA 70634
(337) 462-2513
(337) 462-2513
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2005
Last updated
08/22/2020
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