Organization
BAYOU RIVER HEALTH SYSTEMS
Active
Other names
HouseCall
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUELLA P GIVENS JD (DIRECTOR)
(985) 626-4121
Entity
Organization
Contact information
Practice address
2244 11TH STREET, SUITE A, MANDEVILLE, LA 70471-1824
(985) 626-2141
(985) 626-4233
Mailing address
2244 11TH STREET, SUITE A, MANDEVILLE, LA 70471-1824
(985) 626-2141
(985) 626-4233
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
468
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1403636
—
LA
01
—
468
LA LICENSE NUMBER
LA
01
—
468A
NO BRANCH STATE LICENSE
LA
Enumeration date
07/05/2006
Last updated
08/17/2009
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