Organization
RELIABLE PCA AND RESPITE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. QUENTINA DAWSON (PROGRAM DIRECTOR)
(504) 340-5306
Entity
Organization
Contact information
Practice address
2380 BARATARIA BLVD, 1, MARRERO, LA 70072-5459
(504) 340-5306
(504) 328-7677
Mailing address
2380 BARATARIA BLVD, 1, MARRERO, LA 70072-5459
(504) 340-5306
(504) 328-7677
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
10218
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477362
—
LA
Enumeration date
11/28/2007
Last updated
11/28/2007
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