Organization
HERA MANAGEMENT LLC
Active
Other names
ELOCIN HOUSE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE N CARTER (OWNER)
(757) 639-9080
Entity
Organization
Contact information
Practice address
620 BATES ROAD, KENTWOOD, LA 70444
(985) 614-1620
Mailing address
1206 12TH ST, KENTWOOD, LA 70444-3208
(757) 639-9080
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/31/2023
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