Organization
CHERRY BLOSSOM CARE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENA MARIE GREEN (CHIEF OF OPERATIONS)
(318) 336-7545
Entity
Organization
Contact information
Practice address
4006 CARTER STREET, VIDALIA, LA 71373-3013
(318) 336-7545
(318) 336-7544
Mailing address
4006 CARTER STREET, VIDALIA, LA 71373-3013
(318) 336-7545
(318) 336-7544
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
LA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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