Organization
AT HOME ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE FELTON (DIRECTOR)
(601) 437-3524
Entity
Organization
Contact information
Practice address
76 HOOD ST, LAKE PROVIDENCE, LA 71254-2662
(318) 559-3959
Mailing address
306 CHURCH ST, PORT GIBSON, MS 39150-2108
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
LA
Other
Enumeration date
06/06/2012
Last updated
06/15/2012
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