# PARISHES SUPPORTIVE LIVING

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

## Provider details

- **NPI number:** 1831377936
- **Authorized official:** MR. COREY VINING (CFO)
- **Authorized official phone:** (985) 386-0898

## Contact information

- **Practice address:** 112 S 3RD ST, PONCHATOULA, LA 70454-2602
- **Practice address phone:** (985) 386-0898
- **Practice address fax:** (985) 370-5788
- **Mailing address:** 112 S 3RD ST, PONCHATOULA, LA 70454-2602
- **Mailing address phone:** (985) 386-0898
- **Mailing address fax:** (985) 370-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008