# AT HOME ADULT DAYCARE

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

## Provider details

- **NPI number:** 1235490285
- **Authorized official:** JEANETTE FELTON (DIRECTOR)
- **Authorized official phone:** (601) 437-3524

## Contact information

- **Practice address:** 76 HOOD ST, LAKE PROVIDENCE, LA 71254-2662
- **Practice address phone:** (318) 559-3959
- **Mailing address:** 306 CHURCH ST, PORT GIBSON, MS 39150-2108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | LA | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/15/2012