Individual
MS. NICOLE M ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3129 OHIO ST, KENNER, LA 70065-4436
(985) 288-7269
Mailing address
6149 S HERMES ST, NEW ORLEANS, LA 70126-2636
(985) 288-7269
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
88424
LA
253Z00000X
In Home Supportive Care Agency
A063444
MS
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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