Dream Provider Care Services Of Louisiana Inc

NPI 1164800876 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1164800876
Enumeration Date 05/13/2015
Last Updated 05/13/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CRISTAL CRISTAL
Position CEO
Phone (225) 751-2409
Fax (225) 751-2466
Practice Location
140 ASPEN SQ STE B
DENHAM SPRINGS LA, 70726-5323, US
Phone (225) 751-2409
Fax (225) 751-2466
Business Location
5215 ESSEN LN STE 5
BATON ROUGE LA, 70809-3563, US
Phone (225) 751-2409
Fax (225) 751-2466
Toxanomy
Taxonomy Code 253Z00000X
License State Louisiana
License Number 15410
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According to our database, Dream Provider Care Services Of Louisiana Inc NPI is 1164800876, taxonomy code is 253Z00000X and license number is 15410, license state is located at Louisiana. Dream Provider Care Services Of Louisiana Inc physically located at 140 Aspen Sq Ste B, Denham Springs LA, 70726-5323. NPI Number 1033115704 has the healthcare provider type.

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1164800876 NPI number is provided on an as is basis without warranty of any kind. 1164800876 is maintained by the National Plan & Provider Enumeration System. The contents of Dream Provider Care Services Of Louisiana Inc are for informational purposes only.