OrganizationActive
Bayou Region Supports & Services Center
NPI 1730348608 · Intellectual Disabilities Intermediate Care Facility · Thibodaux, LA
Provider details
- NPI number
- 1730348608
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Janelle Folse, Regional Assoc. Administrator Mrdd2(985) 449-5181
- License
- 1024 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
690 E 1st St
Thibodaux, LA 70301-3546
Phone: (980) 449-5181
Fax: (985) 449-5198
Approximate (ZIP-level) locationGet directions
Mailing address
690 E 1st St
Thibodaux, LA 70301-3546
Other names (DBA / former)
- Doing business as
- Fairway Community Home
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2008-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.