Lafayette Arc Resident Service
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lafayette, LA
NPI 1104047117 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104047117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 366 (LA)
- Legal business name
- LAFAYETTE ARC RESIDENT SERVICE
- Practice address
- 303 New Hope Rd
Lafayette, LA 70506-7407 - Phone
- (337) 988-0640
- Fax
- (337) 988-0813
- NPI assigned
- May 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Glenn Weber
- Title
- Director
- Phone
- (337) 988-6110
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Lafayette Association for Retarded Citizens Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 366 | LA | Yes |
Addresses
Primary practice location
303 New Hope Rd
Lafayette, LA 70506-7407
Mailing address
303 New Hope Rd
Lafayette, LA 70506-7407
Phone (337) 988-6110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1716154 | Medicaid | LA |
Other providers in Lafayette, LA
- Taylor Lacour
- Ladebe LLC
- Lady of the Oaks Retirement Manor, LLC
- Lady of the Oaks Retirement Manor, LLC
- Lafayette Arc Resident Service
- Lafayette Arc Resident Service
- Lafayette Arc Resident Service
- Lafayette Arthritis and Endocrine Clinic Apmc
- Lafayette Association for Retarded Cititzens,Inc
- Lafayette Association for Retarded Citizens, Inc.
All providers in Lafayette, LA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.