Organization
BAYOU INDUSTRIAL MAINTENANCE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA R DUPRE (INTERIM EXECUTIVE DIRECTOR)
(985) 384-2003
Entity
Organization
Contact information
Practice address
2675 4TH ST, BERWICK, LA 70342-2835
(985) 384-2003
(985) 385-2881
Mailing address
2675 4TH ST, BERWICK, LA 70342-2835
(985) 384-2003
(985) 385-2881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA2737
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170712
—
LA
Enumeration date
09/15/2009
Last updated
09/15/2009
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