Beauregard Arc in Deridder - Developmental Disabilities
Beauregard Arc - NPI 1902889991
Beauregard Arc is a Developmental Disabilities in Deridder, Louisiana. Beauregard Arc practices all healthcare services and medical treatments related to Developmental Disabilities. The NPI Number for Beauregard Arc is 1902889991. The last update date is 2020-08-22.
Beauregard Arc's current location address is 1209 W Shirley St, Deridder, Louisiana. You can contact this provider via phone number 3374622513 and fax number 3374622513. The mailing address for Beauregard Arc is 1209 W Shirley St, Deridder, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beauregard Arc |
|---|---|
| Address | 1209 W Shirley St, Deridder, Louisiana |
| Phone Number | 3374622513 |
| Fax Number | 3374622513 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Hickman Lynn Jackie |
| Telephone Number | 3374622513 |
NPI Number Detail
| NPI Number | 1902889991 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1209 W Shirley St |
|---|---|
| City | Deridder |
| State | Louisiana (LA) |
| Post Code | 70634 |
| Phone Number | 3374622513 |
| Fax Number | 3374622513 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Disabilities |
|---|---|
| Taxonomy | 261Qd1600X |
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Definition: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many ins |
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What is the unique 10-digit identifier code assigned to Beauregard Arc by the Centers for Medicare & Medicaid Services?
The Beauregard Arc has been issued the NPI (National Provider Identifier) 1902889991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Beauregard Arc located?
The Beauregard Arc is located at 1209 W Shirley St, Deridder, LA 70634.
What is Beauregard Arc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Beauregard Arc's specialized field of practice is Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd1600X.
On what date was the 1902889991 assigned to Beauregard Arc?
The Beauregard Arc was issued its 1902889991 on 2005-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Beauregard Arc last refreshed?
The information related to the Beauregard Arc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.