Organization
BAYOU HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDI ANTOINETTE WILSON RN (CEO)
(337) 459-6142
Entity
Organization
Contact information
Practice address
516 BRUIN CT, STOCKBRIDGE, GA 30281-7791
(337) 459-6142
Mailing address
516 BRUIN CT, STOCKBRIDGE, GA 30281-7791
(337) 459-6142
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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