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NPI Code Detail

MEDICARE: ASSOC FOR RETARDED CITIZENS OUACHITA

MEDICARE: ASSOC FOR RETARDED CITIZENS OUACHITA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center11371LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023151677
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOC FOR RETARDED CITIZENS OUACHITA
Provider Business Mailing Address
First Line : PO BOX 1462
Second Line :
City : MONROE
State : LA
Zip : 71210-1462
Country : US
Telephone Number : 318-387-7817
Fax Number : 318-322-0914
Provider Business Practice Location Address
First Line : 901 N 4TH ST
Second Line :
City : MONROE
State : LA
Zip : 71201-5909
Country : US
Telephone Number : 318-387-7817
Fax Number : 318-322-0914
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. CRAIG RAMBIN
Credential :
Telephone Number : 318-387-7817
Provider Enumeration Date : 02/14/2007
Last Update Date : 01/21/2025

Similar Medicare Providers

1386787182 — ASSOC FOR RETARDED CITIZENS OUACHITA
Practice Location Address:
901 N 4TH ST
MONROE, LA
71201-5909
Practice Phone: 318-387-7817
Practice Fax: 318-322-0914
1215064688 — MS. ASHLEY DAILY RN
Practice Location Address:
901 N 4TH ST
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71201-5909
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1790812170 — MS. SUSAN HUMPHRIES RN
Practice Location Address:
901 N 4TH ST
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Practice Phone: 318-387-7817
Practice Fax: 318-322-0914
1255469474 — MS. MELISSA BATSON OT
Practice Location Address:
901 N 4TH ST
MONROE, LA
71201-5909
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Practice Fax: 318-322-0914
1306974076 — MS. PATTI CALK
Practice Location Address:
901 N 4TH ST
MONROE, LA
71201-5909
Practice Phone: 318-387-7817
Practice Fax: 318-322-0914
1336278936 — MRS. EMILY BASS WYATT ST
Practice Location Address:
901 N 4TH ST
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71201-5909
Practice Phone: 318-387-7817
Practice Fax: 318-322-0914

Directions to “ASSOC FOR RETARDED CITIZENS OUACHITA ” Practice Location

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