Organization
LOUISIANA HOMECARE OF NORTHWEST LOUISIANA, LLC
Active
Other names
Louisiana HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
301 JEFFERSON ST, MANSFIELD, LA 71052-3201
(318) 872-0821
(318) 871-1884
Mailing address
P.O. BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
983
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400521
—
LA
01
—
190030609Z
BLUE CROSS BLUE SHIELD OF
LA
Enumeration date
05/27/2006
Last updated
12/14/2016
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