Lafourche Arc in Thibodaux - Intermediate Care Facility, Intellectual Disabilities
Lafourche Arc - NPI 1578615126
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 1578615126. 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 | 1578615126 |
|---|---|
| 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 | 355 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1716049 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lafourche Arc?
The Lafourche Arc has been issued the NPI (National Provider Identifier) 1578615126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Lafourche Arc is located?
The Lafourche Arc is situated at the following address: 100 W Main St, Thibodaux, LA, 703015216.
What is Lafourche Arc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lafourche Arc's area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
When was the Lafourche Arc's 1578615126 issued?
The Lafourche Arc's 1578615126 was issued on 2007-01-16.
As of what date were the Lafourche Arc's details last updated?
The information pertaining to the Lafourche Arc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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