South Louisiana Community Home Inc.

NPI #1922317890 in Thibodaux, Louisiana

Provider Information

NPI Number: 1922317890
Entity Type: Organization
Organization Name: South Louisiana Community Home Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 27, 2010
Last Updated: Sep 27, 2010

Practice Location

Address: 602 FAIRWAY DR
City: Thibodaux
State: Louisiana
ZIP Code: 70301-3726
Phone: (337) 546-0667

Authorized Official

Name: MR. FRANKIE JOSEPH LAFLEUR
Title: ADMINISTRATOR/OWNER
Phone: (337) 546-0667

Specialties & Taxonomy Codes

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

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