Organization
FAIRWAY COMMUNITY HOME
Active
Parent organization
SOUTH LOUISIANA COMMUNITY HOMES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH LOUISIANA COMMUNITY HOMES, INC.
Authorized official
MR. FRANKIE JOSEPH LAFLEUR (OWNER)
(337) 546-0667
Entity
Organization
Contact information
Practice address
602 FAIRWAY DR, THIBODAUX, LA 70301-3726
(337) 546-0667
(337) 546-6827
Mailing address
246 DAN DR, EUNICE, LA 70535-6860
(337) 546-0667
(337) 546-6827
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
19G624
LA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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