Organization
PERSONAL CARE SERVICE OF CARENCRO,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEARLIE B FLUGENCE (ADMINISTRATOR/MANAGER)
(337) 886-3073
Entity
Organization
Contact information
Practice address
403 VETERANS DR, CARENCRO, LA 70520-3520
(337) 886-3073
(337) 886-1413
Mailing address
403 VETERANS DR, CARENCRO, LA 70520-3520
(337) 886-3073
(337) 886-1413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADHC 4444
DEPT.OF HEALTH & HOSPITAL
LA
Enumeration date
02/19/2008
Last updated
02/19/2008
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