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GLENDA GRAVOUILLA POULAN LRST
NPI 1447742473
Day Training, Developmentally Disabled Services in Lafayette, LA

Active since June 05, 2018
330 GUILBEAU RD, LAFAYETTE, LA 70506(372) 475-2473(214) 602-4526 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenda Gravouilla Poulan Lrst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDA GRAVOUILLA POULAN LRST (NPI 1447742473) is an individual day training, developmentally disabled services provider in Lafayette, Louisiana and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1447742473
Entity TypeIndividualFemale
Primary Taxonomy251C00000X
Provider Legal NameGLENDA GRAVOUILLA POULANCredential: LRST
Location Address330 GUILBEAU RDLafayette, LA 70506
Mailing Address330 Guilbeau RdLafayette, LA 70506-6914 · (337) 989-0120 · Fax (214) 602-4526
Phone(372) 475-2473
Fax(214) 602-4526
Sole ProprietorYes
Enumeration DateJune 5, 2018
Last NPPES UpdateJune 13, 2018
✔ NPI 1447742473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedDriverTaxonomy 172A00000X
330 GUILBEAU RD, Lafayette, LA 70506
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenda Poulan's NPI number?

The NPI number for Glenda Poulan is 1447742473. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Glenda Poulan located?

Glenda Poulan practices at 330 Guilbeau Rd, Lafayette, LA 70506. The listed phone number is (372) 475-2473.

What is Glenda Poulan's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Glenda Poulan was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.