Organization
MILLENNIUM HEALTH CARE SERVICES
Active
Organization
MILLENNIUM HEALTH CARE SERVICES
Active
Other names
Millennium PCA Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAINE JOSEPH WOODS SR. MBA (OWNER/CEO)
(225) 923-3117
Entity
Organization
Contact information
Practice address
2701 JOHNSTON ST, SUITE 303, LAFAYETTE, LA 70503-3263
(337) 264-1288
(337) 264-1289
Mailing address
PO BOX 45301, BATON ROUGE, LA 70895-4301
(225) 923-3117
(225) 923-3118
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCA 7051
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008761
—
LA
Enumeration date
04/22/2008
Last updated
04/22/2008
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