Organization
TERREBONNE COUNCIL ON AGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA N EDMONSON (EXECUTIVE DIRECTOR)
(985) 868-8411
Entity
Organization
Contact information
Practice address
995 W TUNNEL BLVD, HOUMA, LA 70360-5557
(985) 868-8411
(985) 868-7806
Mailing address
995 W TUNNEL BLVD, HOUMA, LA 70360-5557
(985) 868-8411
(985) 868-7806
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992330
—
LA
Enumeration date
08/20/2007
Last updated
07/21/2022
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