Organization
TENDER LOVE PCA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORA LYNETTY COSSETT (DIRECTOR)
(225) 775-6011
Entity
Organization
Contact information
Practice address
4686 GROOM RD, SUITE D, BAKER, LA 70714-3049
(225) 775-6011
(225) 775-6078
Mailing address
4686 GROOM RD, SUITE D, BAKER, LA 70714-3049
(225) 775-6011
(225) 775-6078
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
12296
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366528
—
LA
05
—
1366927
—
LA
Enumeration date
04/18/2007
Last updated
08/22/2020
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