Organization
INTENSIVE HOME HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARLEVIA C MARTIN ADMINISITRATOR (PRESIDENT/CEO)
(318) 336-9030
Entity
Organization
Contact information
Practice address
1633 CARTER ST., VIDALIA, LA 71373-3207
(318) 336-9030
Mailing address
1633 CARTER ST, VIDALIA, LA 71373-3207
(318) 336-9030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1400106
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400106
—
LA
01
—
33943
BLUE CROSS OF LA PROVIDER
LA
Enumeration date
06/02/2006
Last updated
07/13/2009
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