Provider Demographics
NPI:1225182900
Name:CATAHOULA ASSOCIATION OF RETARDED CITIZENS, INC.
Entity Type:Organization
Organization Name:CATAHOULA ASSOCIATION OF RETARDED CITIZENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NELL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-339-8176
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71343-0789
Mailing Address - Country:US
Mailing Address - Phone:318-339-8176
Mailing Address - Fax:318-339-8176
Practice Address - Street 1:602 FOURTH ST
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71343-2220
Practice Address - Country:US
Practice Address - Phone:318-339-8176
Practice Address - Fax:318-339-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADC 2325251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1936413Medicaid