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Organization
PRECIOUS MOMENTS MEDICAL CARE
Active
Organization
PRECIOUS MOMENTS MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULINE M DEROUEN (OWNER)
(337) 250-4136
Entity
Organization
Contact information
Practice address
719 S AVENUE D, CROWLEY, LA 70526-5607
(337) 250-4136
(337) 250-4365
Mailing address
719 S AVENUE D, CROWLEY, LA 70526-5607
(337) 250-4136
(337) 250-4365
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CDD409R1
LA
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
12/29/2008
Last updated
01/06/2009
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