# MASION MAXWELL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Visiting Angels
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952996597
- **Authorized official:** MS. JAIME MAXWELL (DIRECTOR, CEO)
- **Authorized official phone:** (985) 629-4446

## Contact information

- **Practice address:** 2124 MONROE ST, MANDEVILLE, LA 70448-5836
- **Practice address phone:** (985) 629-4446
- **Practice address fax:** (985) 629-4497
- **Mailing address:** 2124 MONROE ST, MANDEVILLE, LA 70448-5836
- **Mailing address phone:** (985) 629-4446
- **Mailing address fax:** (985) 629-4497

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2021
- **Last updated:** 03/05/2021
