Lafourche Arc in Thibodaux - Intermediate Care Facility, Intellectual Disabilities
Lafourche Arc - NPI 1043362692
Lafourche Arc is a Intermediate Care Facility, Intellectual Disabilities in Thibodaux, Louisiana. Lafourche Arc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Lafourche Arc is 1043362692. The last update date is 2020-08-22.
Lafourche Arc's current location address is 100 W Main St, Thibodaux, Louisiana. You can contact this provider via phone number 9854476214 and fax number 9854474813. The mailing address for Lafourche Arc is 100 W Main St, Thibodaux, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lafourche Arc |
|---|---|
| Address | 100 W Main St, Thibodaux, Louisiana |
| Phone Number | 9854476214 |
| Fax Number | 9854474813 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FISCAL SER |
|---|---|
| Authorized Official Name | Bonvillain Ricky |
| Telephone Number | 9854476214 |
NPI Number Detail
| NPI Number | 1043362692 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 W Main St |
|---|---|
| City | Thibodaux |
| State | Louisiana (LA) |
| Post Code | 703015216 |
| Phone Number | 9854476214 |
| Fax Number | 9854474813 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 351 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1716057 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lafourche Arc by the Centers for Medicare & Medicaid Services?
The Lafourche Arc has been assigned the NPI (National Provider Identifier) 1043362692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lafourche Arc?
The Lafourche Arc is physically situated at 100 W Main St, in the city of Thibodaux, state of LA, with the postal code 703015216.
What is Lafourche Arc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lafourche Arc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043362692 to Lafourche Arc?
The Lafourche Arc received its 1043362692 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
When was the information regarding Lafourche Arc most recently updated?
The details pertaining to the Lafourche Arc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.