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Fairway Community Home
Intellectual Disabilities Intermediate Care Facility in Thibodaux, Louisiana
NPI 1962712356

Fairway Community Home is a Intellectual Disabilities Intermediate Care Facility based in Eunice, LA. Fairway Community Home practices in Thibodaux, LA. The NPI Number for Fairway Community Home is 1962712356 and holds a License No. 19G624 (Louisiana).

The current practice location address for Fairway Community Home is 602 Fairway Dr, Thibodaux, LA and can be reached out via phone at 337-546-0667 and via fax at 337-546-6827.

Location: 602 Fairway Dr, Thibodaux, LA, 70535-6860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962712356
Provider Name
Fairway Community Home
Credential
Provider Entity Type
Organization
Address
602 Fairway Dr, Thibodaux, LA, 70535-6860
Phone Number
337-546-0667
Fax Number
337-546-6827
Provider Enumeration Date
10/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
602 Fairway Dr
City
Thibodaux
State
Louisiana
Zip
70301-3726
Phone Number
337-546-0667
Fax Number
337-546-6827
person
Provider Business Mailing Address Details
Address
602 Fairway Dr
City
Thibodaux
State
Louisiana
Zip
70301-3726
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.
19G624 (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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