Organization
ACADIANA SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH RUTH SILAS R.N. (PROGRAM DIRECTOR)
(337) 984-8875
Entity
Organization
Contact information
Practice address
318-A GUILBEAU ROAD, LAFAYETTE, LA 70506
(337) 984-8875
(337) 984-8879
Mailing address
318-A GUILBEAU ROAD, LAFAYETTE, LA 70506
(337) 984-8875
(337) 984-8879
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1307521
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307521
—
LA
Enumeration date
02/18/2010
Last updated
04/05/2010
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