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Organization
COMPASSION COMMUNITY SERV LLC
Active
Organization
COMPASSION COMMUNITY SERV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE MITCHELL II (CEO)
(337) 367-5858
Entity
Organization
Contact information
Practice address
910 E MAIN ST STE 23, NEW IBERIA, LA 70560-3865
(337) 367-5858
Mailing address
PO BOX 11857, NEW IBERIA, LA 70562-1857
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
PCA 12828
LA
3747A0650X
Attendant Care Provider
PCA 12828
LA
3747P1801X
Personal Care Attendant
PCA 12828
LA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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