Acadiana Region Supports and Services Center
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Iota, LA
NPI 1811223480 · NPPES record last updated Nov 2, 2009
Key facts
- NPI
- 1811223480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 10658 (LA)
- Legal business name
- ACADIANA REGION SUPPORTS AND SERVICES CENTER
- Practice address
- 530 McMillian Ave
Iota, LA 70543 - Phone
- (337) 779-2121
- Fax
- (337) 821-9306
- NPI assigned
- Nov 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Samuel K McDaniel
- Title
- Mr DD Regional Administrator
- Phone
- (337) 824-6250
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Acadiana Region Supports and Services Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 10658 | LA | Yes |
Addresses
Primary practice location
530 McMillian Ave
Iota, LA 70543
Mailing address
PO Box 218
224 Gremillion Circle
Iota, LA 70543-0218
Phone (337) 824-6250
Other names
- MCMILLIAN AVENUE COMMUNITY HOME
Other providers in Iota, LA
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Regional Supports & Services Center
- Acadiana Supports & Services Center
- Amanda R. Dupre', LCSW LLC
- Arc of Acadiana
- Brittany Ardoin
All providers in Iota, 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 Nov 2, 2009. 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.