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Organization
MID- STATE HOME HEALTH AGENCY INC
Active
Organization
MID- STATE HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BROWN C.P.A (OWNER/ADMINISTRATOR)
(318) 443-9739
Entity
Organization
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 443-9739
(318) 443-9811
Mailing address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 443-9739
(318) 443-9811
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
354
LA
Other
Enumeration date
04/11/2006
Last updated
06/27/2008
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