Organization
BY GODS GRACE SITTER SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL RENEE JOSEPH (GENERAL PARTNER)
(225) 663-0288
Entity
Organization
Contact information
Practice address
13132 HAZLEWOOD DR, DENHAM SPRINGS, LA 70726-6596
(225) 663-0288
Mailing address
13132 HAZLEWOOD DR, DENHAM SPRINGS, LA 70726-6596
(225) 663-0288
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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