Lafourche Arc

NPI #1366594863 in Thibodaux, Louisiana

Provider Information

NPI Number: 1366594863
Entity Type: Organization
Organization Name: Lafourche Arc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 100 W MAIN ST
City: Thibodaux
State: Louisiana
ZIP Code: 70301-5216
Phone: (985) 447-6214

Authorized Official

Name: RICKY BONVILLAIN
Title: FISCAL SERVICES DIRECTOR
Phone: (985) 447-6214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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