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General NPI Number Information
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NPI Number | 1770623191
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Entity Type | Organization
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Legal Business Name | DONALDSONVILLE AREA ASSOCIATION FOR RETARDED CITIZENS, INC.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1030 CLAY ST
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City | DONALDSONVILLE
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State | LA
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Zip | 70346-3518
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Country | US
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Telephone | 225-473-4516
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Fax | 225-473-4517
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Provider Business Mailing Address
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Address Line | 1030 CLAY ST PO BOX 624
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City | DONALDSONVILLE
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State | LA
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Zip | 70346-3518
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Country | US
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Telephone | 225-473-4516
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Fax | 225-473-4517
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MARLENE BENOIT DOMINGUE
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Credential |
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Telephone | 225-473-4516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2341
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 495
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 6675
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License Number State | LA
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