Organization
AMEDISYS PENNSYLVANIA, L.L.C.
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LABORDE (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
264 HIGHLAND PARK BLVD, SUITE H, WILKES BARRE, PA 18702-6768
(570) 824-0023
(570) 824-1666
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
719005
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232224802
TAX ID
PA
01
—
35904
HEALTHAMERICA
PA
Enumeration date
09/16/2005
Last updated
03/03/2014
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