institution
Peltier-lawless Developmental Center
Intellectual Disabilities Intermediate Care Facility in Thibodaux, Louisiana
NPI 1386863009

Peltier-lawless Developmental Center is a Intellectual Disabilities Intermediate Care Facility based in Thibodaux, LA. Peltier-lawless Developmental Center practices in Thibodaux, LA. The NPI Number for Peltier-lawless Developmental Center is 1386863009 and holds a License No. 776 (Louisiana).

The current practice location address for Peltier-lawless Developmental Center is 318 Marcello Blvd, Thibodaux, LA and can be reached out via phone at 985-447-0912 and via fax at 985-449-5198.

Location: 318 Marcello Blvd, Thibodaux, LA, 70301-3546
institution
Provider Profile Details
NPI Number
1386863009
Provider Name
Peltier-lawless Developmental Center
Credential
Provider Entity Type
Organization
Address
318 Marcello Blvd, Thibodaux, LA, 70301-3546
Phone Number
985-447-0912
Fax Number
985-449-5198
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1712311 05 LA
institution
Provider Business Practice Location Address Details
Address
318 Marcello Blvd
City
State
Zip
70301
Phone Number
985-447-0912
Fax Number
985-449-5198
person
Provider Business Mailing Address Details
Address
318 Marcello Blvd
City
State
Zip
70301
Phone Number
985-447-0912
Fax Number
985-449-5198
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
776 (Louisiana)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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