Organization
FELICIANA HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M WIDNER (OFFICE MANAGER)
(225) 683-3060
Entity
Organization
Contact information
Practice address
9735 GRACE LANE, CLINTON, LA 70722
(225) 683-3060
(225) 683-5675
Mailing address
PO BOX 8010, CLINTON, LA 70722
(225) 683-3060
(225) 683-5675
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
119
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400963
—
LA
01
—
18334
CLIA
LA
Enumeration date
02/02/2006
Last updated
11/28/2007
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