# ABIDING IN THE VINE CARE PROVIDER

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

## Provider details

- **NPI number:** 1831686435
- **Authorized official:** BRANDY MARIE CHRISTOPHER (DIRECTOR)
- **Authorized official phone:** (504) 267-0322

## Contact information

- **Practice address:** 1141 WHITNEY AVE BLDG 2, GRETNA, LA 70056-5011
- **Practice address phone:** (504) 267-0322
- **Practice address fax:** (504) 265-0153
- **Mailing address:** 1141 WHITNEY AVE BLDG 2, GRETNA, LA 70056-5011
- **Mailing address phone:** (504) 267-0322
- **Mailing address fax:** (504) 265-0153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 08/23/2019