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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