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Thibodaux Community Home
Intellectual Disabilities Intermediate Care Facility in Thibodaux, Louisiana
NPI 1841500774

Thibodaux Community Home is a Intellectual Disabilities Intermediate Care Facility based in Eunice, LA. Thibodaux Community Home practices in Thibodaux, LA. The NPI Number for Thibodaux Community Home is 1841500774 and holds a License No. 19G639 (Louisiana).

The current practice location address for Thibodaux Community Home is 1200 Jefferson St, Thibodaux, LA and can be reached out via phone at 337-546-0667 and via fax at 337-546-6827.

Location: 1200 Jefferson St, Thibodaux, LA, 70535-6860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841500774
Provider Name
Thibodaux Community Home
Credential
Provider Entity Type
Organization
Address
1200 Jefferson St, Thibodaux, LA, 70535-6860
Phone Number
337-546-0667
Fax Number
337-546-6827
Provider Enumeration Date
10/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 Jefferson St
City
Thibodaux
State
Louisiana
Zip
70301-2238
Phone Number
337-546-0667
Fax Number
337-546-6827
person
Provider Business Mailing Address Details
Address
1200 Jefferson St
City
Thibodaux
State
Louisiana
Zip
70301-2238
Phone Number
337-546-0667
Fax Number
337-546-6827
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
19G639 (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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