Organization
HANSBERRY ADULT DAY HEALTH CARE OF LAFAYETTE, LLC
Active
Other names
Hansberry Adult Day Health Care of Lafayette, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY C. HANSBERRY R.N. (OWNER/ ADMINISTRATOR)
(337) 344-9706
Entity
Organization
Contact information
Practice address
2121 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 484-3221
(337) 484-3227
Mailing address
2121 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 484-3221
(337) 484-3227
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548465867
—
LA
Enumeration date
06/27/2022
Last updated
06/27/2022
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