Organization
LAGNIAPPE HOME AND COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARRON BUSH SMITH OTR (CEO)
(337) 849-7431
Entity
Organization
Contact information
Practice address
102 RAPHAEL DR, LAFAYETTE, LA 70508-5952
(337) 541-0219
Mailing address
102 RAPHAEL DR, LAFAYETTE, LA 70508-5952
(337) 541-0219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306843
—
LA
Enumeration date
04/10/2020
Last updated
04/13/2020
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