Provider Demographics
NPI:1700889896
Name:ASSOCIATION FOR RETARDED CITIZENS
Entity Type:Organization
Organization Name:ASSOCIATION FOR RETARDED CITIZENS
Other - Org Name:THE ARC OF GREATER NEW ORLEANS
Other - Org Type:Other Name
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:VANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVESQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-837-5105
Mailing Address - Street 1:925 LABARRE RD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001
Mailing Address - Country:US
Mailing Address - Phone:504-837-5105
Mailing Address - Fax:504-831-4107
Practice Address - Street 1:5700 LOYOLA AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5015
Practice Address - Country:US
Practice Address - Phone:504-897-0134
Practice Address - Fax:504-895-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1956546Medicaid