Organization
ITS TAG MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY T KELLY (DIRECTOR)
(985) 516-0737
Entity
Organization
Contact information
Practice address
31136 WOODROW PETERS RD, ANGIE, LA 70426
(985) 516-0736
Mailing address
PO BOX 376, ANGIE, LA 70426-0376
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
05/22/2024
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