Provider Demographics
NPI:1285201137
Name:ARC OF ACADIANA, INC
Entity Type:Organization
Organization Name:ARC OF ACADIANA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENTIAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:LEE BOOK
Authorized Official - Last Name:STUTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-230-2924
Mailing Address - Street 1:6400 HIGHWAY 90 W
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-7836
Mailing Address - Country:US
Mailing Address - Phone:337-519-4126
Mailing Address - Fax:
Practice Address - Street 1:5401 SHED RD UNIT 133
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5420
Practice Address - Country:US
Practice Address - Phone:318-742-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARC OF ACADIANA, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities