Organization
HARBOR HOSPICE OF OAKDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD THIBODAUX (CHIEF DATA OFFICER)
(409) 813-2332
Entity
Organization
Contact information
Practice address
209 N 16TH ST, OAKDALE, LA 71463-2211
(318) 335-5029
(318) 335-5066
Mailing address
3406 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 232-0573
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
19-1656
LA
251G00000X
Community Based Hospice Care Agency
PENDING
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031810
—
LA
01
—
268
DHH
LA
Enumeration date
06/12/2007
Last updated
01/27/2016
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