Healthcare Provider Details

I. General information

NPI: 1538219720
Provider Name (Legal Business Name): ASSOCIATION FOR RETARDED CITIZENS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 LOYOLA AVE
NEW ORLEANS LA
70115-5015
US

IV. Provider business mailing address

925 LABARRE RD
METAIRIE LA
70001
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-0134
  • Fax: 504-895-6496
Mailing address:
  • Phone: 504-837-5105
  • Fax: 504-831-4107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: GLENDA DICKINSON
Title or Position: DEPARTMENT DIRECTOR
Credential:
Phone: 504-897-0134