Organization
GONZALES HOME HEALTH LLC
Active
Other names
Southern Nursing Hom Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH L. LAUKHUFF JR JR. (MGR. OF LLC)
(318) 336-9411
Entity
Organization
Contact information
Practice address
7732 GOODWOOD BLVD, SUITE M, BATON ROUGE, LA 70806
(225) 927-5978
(225) 927-5978
Mailing address
7732 GOODWOOD BLVD, SUITE M, BATON ROUGE, LA 70806-7626
(225) 927-5978
(225) 927-5980
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
901
LA
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1405051
—
LA
Enumeration date
07/07/2006
Last updated
06/05/2012
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