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Organization

GALVEZ PERSONAL CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THERESA PETERS FISHER (ADMINISTRATOR)
(504) 948-6984
Entity
Organization

Contact information

Practice address
1407 PIETY ST, NEW ORLEANS, LA 70117-6035
(504) 948-6984
(504) 948-4456
Mailing address
1407 PIETY ST, NEW ORLEANS, LA 70117-6035
(504) 948-6984
(504) 948-4456

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203781057
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265617450
LA
05
1275711582
LA
Enumeration date
10/25/2012
Last updated
10/25/2012
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