# SOUTH REGIONAL PERSONAL CARE SERVICE, LLC

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

## Provider details

- **NPI number:** 1326558867
- **Authorized official:** SHANNAH HICKERSON (OWNER)
- **Authorized official phone:** (225) 367-1649

## Contact information

- **Practice address:** 10319 OLD HAMMOND HWY STE B1, BATON ROUGE, LA 70816-8288
- **Practice address phone:** (225) 367-1649
- **Mailing address:** 13811 PARKWAY DR, DENHAM SPRINGS, LA 70726-8819
- **Mailing address phone:** (225) 333-2178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 2203782592 | LA | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 10/11/2017