Organization
ANGEL CARE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTAL GLOVER RN (ADMINISTRATOR)
(337) 534-8242
Entity
Organization
Contact information
Practice address
1406 NE EVANGELINE TRWY, SUITE 100, LAFAYETTE, LA 70501-2830
(337) 534-8242
(337) 534-8243
Mailing address
1406 NE EVANGELINE TRWY, SUITE 100, LAFAYETTE, LA 70501-2830
(337) 534-8242
(337) 534-8243
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
75
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580449
—
LA
Enumeration date
04/18/2007
Last updated
11/21/2016
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