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Calcasieu Association For Retarded Citizens
Intellectual Disabilities Intermediate Care Facility in Lake Charles, Louisiana
NPI 1861614471

Calcasieu Association For Retarded Citizens is a Intellectual Disabilities Intermediate Care Facility based in Lake Charles, LA. Calcasieu Association For Retarded Citizens practices in Lake Charles, LA. The NPI Number for Calcasieu Association For Retarded Citizens is 1861614471 and holds a License No. 2102830354 (Louisiana).

The current practice location address for Calcasieu Association For Retarded Citizens is 1807 19Th Street, Lake Charles, LA and can be reached out via phone at 337-433-3620 and via fax at 337-439-1886.

Location: 1807 19Th Street, Lake Charles, LA, 70615-3445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861614471
Provider Name
Calcasieu Association For Retarded Citizens
Credential
Provider Entity Type
Organization
Address
1807 19Th Street, Lake Charles, LA, 70615-3445
Phone Number
337-433-3620
Fax Number
337-439-1886
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1716065 05 LA
institution
Provider Business Practice Location Address Details
Address
1807 19Th Street
City
Lake Charles
State
Louisiana
Zip
70601
Phone Number
337-433-3620
Fax Number
337-439-1886
person
Provider Business Mailing Address Details
Address
1807 19Th Street
City
Lake Charles
State
Louisiana
Zip
70601
Phone Number
337-433-3620
Fax Number
337-439-1886
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2102830354 (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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