Organization
MY PURPOSE COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVANGELINA J USSIN BSW,MSW,RSW (DIRECTOR)
(985) 847-9485
Entity
Organization
Contact information
Practice address
1377 GAUSE BLVD W, SLIDELL, LA 70460-5765
(985) 847-9485
Mailing address
1377 GAUSE BLVD W, SLIDELL, LA 70460-5765
(985) 847-9485
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1356921
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356921
—
LA
Enumeration date
09/12/2007
Last updated
09/12/2007
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