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Organization
ACTIVITIES OF DAILY LIVING SERVICES
Active
Organization
ACTIVITIES OF DAILY LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA WILTZ OWNER (DIRECTOR OF SERVICES)
(337) 332-1810
Entity
Organization
Contact information
Practice address
400 RICHARD ST, BREAUX BRIDGE, LA 70517-6039
(337) 332-1810
(337) 332-3300
Mailing address
400 RICHARD ST, BREAUX BRIDGE, LA 70517-6039
(337) 332-1810
(337) 332-3300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/13/2007
Last updated
03/13/2025
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