# A NEW MEDICAL LEVEL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144985029
- **Authorized official:** MRS. CRYSTAL SMITH-PROVOST (ADMINISTRATOR)
- **Authorized official phone:** (337) 347-4718

## Contact information

- **Practice address:** 1512 AMBASSADOR CAFFERY PKWY STE 5, LAFAYETTE, LA 70506-1826
- **Practice address phone:** (337) 254-6890
- **Practice address fax:** (337) 332-6758
- **Mailing address:** 208 DURHAM DR, LAFAYETTE, LA 70508-6947
- **Mailing address phone:** (337) 254-6890
- **Mailing address fax:** (337) 332-6758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 11/04/2021