Organization
BEDSIDE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORLET TAYLOR SONNIER LPN (ADMINISTRATOR/OWNER)
(337) 269-5885
Entity
Organization
Contact information
Practice address
2900 MOSS ST STE B, LAFAYETTE, LA 70501-1268
(337) 269-5885
Mailing address
2900 MOSS ST STE B, LAFAYETTE, LA 70501-1268
(337) 269-5885
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
20211
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20211
—
LA
Enumeration date
09/08/2009
Last updated
11/13/2009
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