Organization
HARBOR HOSPICE OF OAKDALE, LLC
Active
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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