Organization
STAY AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWNDA S HARRIS (OWNER)
(910) 988-9717
Entity
Organization
Contact information
Practice address
1433 FRANKLIN RD, DERIDDER, LA 70634-5625
(910) 988-9717
Mailing address
1433 FRANKLIN RD, DERIDDER, LA 70634-5625
(910) 988-9717
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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