# DIRECTCARE SUPPORT PROFESSIONAL OF TANGIPHOA

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

## Provider details

- **NPI number:** 1336416742
- **Authorized official:** LINDA BEAN ROWAN (CEO)
- **Authorized official phone:** (985) 901-8428

## Contact information

- **Practice address:** 13332 OLD BATON ROUGH HIGHWAY, HAMMOND, LA 70403
- **Practice address phone:** (985) 901-8428
- **Mailing address:** 13332 OLD BATON ROUGH HIGHWAY, HAMMOND, LA 70403
- **Mailing address phone:** (985) 901-8428

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 11/30/2011