# AN ANGELS TOUCH OF THE RIVER REGION

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

## Provider details

- **NPI number:** 1770775108
- **Authorized official:** MR. KENNETH AVERY VICTOR (ADMINISTRATOR)
- **Authorized official phone:** (985) 651-7887

## Contact information

- **Practice address:** 121 MARIE STREET, LAPLACE, LA 70068
- **Practice address phone:** (985) 651-7887
- **Practice address fax:** (985) 651-5173
- **Mailing address:** 121 MARIE STREET, LAPLACE, LA 70068
- **Mailing address phone:** (985) 651-7887
- **Mailing address fax:** (985) 651-5173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 10007 | LA | Yes |
| 385H00000X | Respite Care | 9581 | LA | — |

## Other

- **Enumeration date:** 08/09/2007
- **Last updated:** 08/09/2007