Organization
AMERACARE FAMILY HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON R MIZE (OWNER/MEMBER)
(985) 635-6900
Entity
Organization
Contact information
Practice address
303 W. 21ST AVENUE, COVINGTON, LA 70433
(985) 893-3301
(985) 893-3401
Mailing address
303 W 21ST AVE, COVINGTON, LA 70433-3153
(985) 386-7800
(985) 635-6936
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
151
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151
DHH-LICENSE
LA
01
—
19D1032115
CLIA
LA
Enumeration date
11/10/2008
Last updated
04/20/2021
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