Organization
LUCI'S TROOP LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCI ST. JULIEN (OWNER)
(337) 234-7031
Entity
Organization
Contact information
Practice address
920 W PINHOOK RD STE 338, LAFAYETTE, LA 70503-2455
(337) 234-7031
Mailing address
111 RUBRIA ST, LAFAYETTE, LA 70501-1735
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15070
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720968
—
LA
Enumeration date
09/26/2007
Last updated
06/25/2010
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