Organization
DIRECTCARE SUPPORT PROFESSIONAL OF TANGIPHOA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BEAN ROWAN (CEO)
(985) 901-8428
Entity
Organization
Contact information
Practice address
13332 OLD BATON ROUGH HIGHWAY, HAMMOND, LA 70403
(985) 901-8428
Mailing address
13332 OLD BATON ROUGH HIGHWAY, HAMMOND, LA 70403
(985) 901-8428
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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