Organization
MAGNOLIA'S HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIE DUHON (OWNER/ADMINISTRATOR)
(337) 232-4351
Entity
Organization
Contact information
Practice address
1909 W UNIVERSITY AVE, LAFAYETTE, LA 70506
(337) 232-4351
(337) 232-4352
Mailing address
PO BOX 2547, LAFAYETTE, LA 70502-2547
(337) 232-4351
(337) 232-4352
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1334154
—
LA
05
—
1623709
—
LA
05
—
172089
—
LA
Enumeration date
10/15/2015
Last updated
10/15/2015
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