# MIRAGE HOME HEALTH AGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mirage Home Health Agency, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710582994
- **Authorized official:** JILL ZERINGUE (OWNER)
- **Authorized official phone:** (504) 289-1698

## Contact information

- **Practice address:** 448 CASTLE DR, EDGARD, LA 70049-2526
- **Practice address phone:** (504) 289-1698
- **Mailing address:** PO BOX 185, EDGARD, LA 70049-0185
- **Mailing address phone:** (504) 289-1698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 12/03/2020