| Organization Name: | LAFOURCHE ARC |
| NPI Number: | 1144402256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICKY P BONVILLAIN (FISCAL SERVICES DIRECTOR) |
| Mailing Address: | 100 W Main St Thibodaux |
| State: | LA US |
| Postal Code: | 703015216 |
| Phone Number: | 9854476214 |
| Fax Number: | 9854474813 |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | RC6792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |