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Bayou Region Supports & Service Center
Intellectual Disabilities Intermediate Care Facility in Thibodaux, Louisiana
NPI 1639323843

Bayou Region Supports & Service Center is a Intellectual Disabilities Intermediate Care Facility based in Thibodaux, LA. Bayou Region Supports & Service Center practices in Thibodaux, LA. The NPI Number for Bayou Region Supports & Service Center is 1639323843 and holds a License No. 1038 (Louisiana).

The current practice location address for Bayou Region Supports & Service Center is 690 E 1St St, Thibodaux, LA and can be reached out via phone at 504-449-5181 and via fax at 504-449-5198.

Location: 690 E 1St St, Thibodaux, LA, 70301-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639323843
Provider Name
Bayou Region Supports & Service Center
Credential
Provider Entity Type
Organization
Address
690 E 1St St, Thibodaux, LA, 70301-3546
Phone Number
504-449-5181
Fax Number
504-449-5198
Provider Enumeration Date
11/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000000 05 LA
institution
Provider Business Practice Location Address Details
Address
690 E 1St St
City
Thibodaux
State
Louisiana
Zip
70301-3546
Phone Number
504-449-5181
Fax Number
504-449-5198
person
Provider Business Mailing Address Details
Address
690 E 1St St
City
Thibodaux
State
Louisiana
Zip
70301-3546
Phone Number
504-449-5181
Fax Number
504-449-5198
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1038 (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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