person
Glenda Gravouilla Poulan, LRST
Developmentally Disabled Services Day Training Agency in Lafayette, Louisiana
NPI 1447742473

Glenda Gravouilla Poulan is a Developmentally Disabled Services Day Training Agency based in Lafayette, LA. Glenda Gravouilla Poulan practices in Lafayette, LA and has the professional credentials of LRST. The NPI Number for Glenda Gravouilla Poulan is 1447742473 and holds a License No. (Louisiana).

The current practice location address for Glenda Gravouilla Poulan is 330 Guilbeau Rd, Lafayette, LA and can be reached out via phone at 372-475-2473 and via fax at 214-602-4526. You can also correspond with Glenda Gravouilla Poulan through the mailing address at 330 GUILBEAU RD, LAFAYETTE, LA - 70506-6914 (mailing address contact number: 337-989-0120).

Location: 330 Guilbeau Rd, Lafayette, LA, 70506-6914
person
Provider Profile Details
NPI Number
1447742473
Provider Name
Glenda Gravouilla Poulan
Credential
LRST
Provider Entity Type
Individual
Gender
Female
Address
330 Guilbeau Rd, Lafayette, LA, 70506-6914
Phone Number
372-475-2473
Fax Number
214-602-4526
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Guilbeau Rd
City
State
Zip
70506
Phone Number
372-475-2473
Fax Number
214-602-4526
person
Provider Business Mailing Address Details
Address
330 Guilbeau Rd
City
State
Zip
70506-6914
Phone Number
337-989-0120
Fax Number
214-602-4526
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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