Provider Demographics
NPI:1386868362
Name:RAPIDES ASSOC FOR RETARDED CITIZENS
Entity Type:Organization
Organization Name:RAPIDES ASSOC FOR RETARDED CITIZENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-445-5287
Mailing Address - Street 1:1700 AHLEY AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-7343
Mailing Address - Country:US
Mailing Address - Phone:318-445-5287
Mailing Address - Fax:318-448-0304
Practice Address - Street 1:1700 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-7343
Practice Address - Country:US
Practice Address - Phone:318-445-5287
Practice Address - Fax:318-448-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADC - 11157251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1936570Medicaid