Organization
LIL LUS BOOMING ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MANUEL (PRESIDENT)
(504) 682-2440
Entity
Organization
Contact information
Practice address
6201 E SAINT BERNARD HWY, SUITE E, VIOLET, LA 70092-3458
(504) 682-2440
(504) 682-6668
Mailing address
6201 E SAINT BERNARD HWY, SUITE E, VIOLET, LA 70092-3458
(504) 682-2440
(504) 682-6668
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LIC 10033
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464449
—
LA
Enumeration date
04/23/2007
Last updated
08/22/2020
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