Organization
BAYOU II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C TURNER (OWNER)
(515) 422-4501
Entity
Organization
Contact information
Practice address
8057 WILLIARD RD, BASTROP, LA 71220-8939
(515) 422-4501
(515) 897-1300
Mailing address
8057 WILLIARD RD, BASTROP, LA 71220-8939
(515) 422-4501
(515) 897-1300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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