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Organization

DEQUINCY HOME HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN A MATHESON (OWNER/PRESIDENT)
(337) 786-2900
Entity
Organization

Contact information

Practice address
500 SOUTH GRAND AVENUE, DEQUINCY, LA 70633-3508
(337) 786-1638
(337) 786-2038
Mailing address
500 SOUTH GRAND AVENUE, PO BOX 1095, DEQUINCY, LA 70633-3508
(337) 786-1638
(337) 786-2038

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1036
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1401960
LA
01
31245
BCBS
LA
Enumeration date
08/23/2005
Last updated
01/03/2008
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