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Organization

WILKINSON CARE GIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA WILKINSON (OWNER/ADMINISTRATOR)
(985) 429-0119
Entity
Organization

Contact information

Practice address
18314 S I 12 SERVICE RD, PONCHATOULA, LA 70454-4710
(985) 429-0119
(985) 340-0119
Mailing address
18314 SOUTH I-12 SERVICE ROAD, PONCHATOULA, LA 70454
(985) 429-0119
(985) 340-0119

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203782738
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2366386
LA
05
2366572
LA
05
2366599
LA
Enumeration date
04/17/2017
Last updated
04/17/2017
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