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Organization
ACTIVITIES OF DAILY LIVING
Active
Organization
ACTIVITIES OF DAILY LIVING
Active
Other names
Activities of Daily Living
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA WILTZ (OWNER)
(337) 332-1810
Entity
Organization
Contact information
Practice address
400 RICHARD ST, BREAUX BRIDGE, LA 70517-6039
(337) 332-1810
Mailing address
400 RICHARD ST, BREAUX BRIDGE, LA 70517-6039
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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