# ELAINE'S PERSONAL CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1902340086
- **Authorized official:** VALINCIA NICHOLS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (985) 516-8225

## Contact information

- **Practice address:** 419 COLUMBIA ST, BOGALUSA, LA 70427-4500
- **Practice address phone:** (985) 205-3339
- **Mailing address:** PO BOX 31, BOGALUSA, LA 70429-0031

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2016
- **Last updated:** 12/08/2016