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Organization
MEDICLYFE CARE LLC
Active
Organization
MEDICLYFE CARE LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL L CAMPBELL (OWNER)
(985) 709-9833
Entity
Organization
Contact information
Practice address
125 DONALD DR, HOUMA, LA 70363-7722
(985) 709-9833
Mailing address
125 DONALD DR, HOUMA, LA 70363-7722
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
03/30/2023
Last updated
04/21/2023
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