# ACADIANA WOUND CARE SPECIALIST, LLC

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

## Provider details

- **NPI number:** 1750563771
- **Authorized official:** MRS. LAURA DEVILLIER RN,BSN,CWOCN (PARTNER)
- **Authorized official phone:** (888) 669-6863

## Contact information

- **Practice address:** 6948 VETERANS MEMORIAL HWY., MAMOU, LA 70554-4823
- **Practice address phone:** (888) 669-6863
- **Practice address fax:** (888) 456-9223
- **Mailing address:** PO BOX 53888, LAFAYETTE, LA 70505-3888
- **Mailing address phone:** (888) 669-6863
- **Mailing address fax:** (888) 456-9223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | RN059946 | LA | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 11/30/2007