Organization
FAMILY CARE GIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DEVILLIER PCP (OWNER)
(985) 774-1844
Entity
Organization
Contact information
Practice address
108 CEDAR LN, SLIDELL, LA 70460-6212
(985) 774-1844
(985) 288-5027
Mailing address
108 CEDAR LN, SLIDELL, LA 70460-6212
(985) 774-1844
(985) 288-5027
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
10171342#83C42
LA
Other
Enumeration date
07/12/2011
Last updated
10/26/2011
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