# CDP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omni Home Care, Omni Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215003827
- **Authorized official:** MR. DWAYNE T GOFF (OWNER)
- **Authorized official phone:** (985) 674-5175

## Contact information

- **Practice address:** 68445 TAMMANY TRACE DR, MANDEVILLE, LA 70471-7779
- **Practice address phone:** (985) 647-5175
- **Practice address fax:** (985) 674-5177
- **Mailing address:** 68445 TAMMANY TRACE DR, MANDEVILLE, LA 70471-7779
- **Mailing address phone:** (985) 647-5175
- **Mailing address fax:** (985) 674-5177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1013 | LA | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 06/06/2023