Organization
PRIMESTAR HOME HEALTH
Active
Other names
Haworth Home Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY A CASTLEMAN RN, HCS-C (ADMINISTRATOR)
(318) 259-1410
Entity
Organization
Contact information
Practice address
1008 JULIA ST, RAYVILLE, LA 71269
(318) 329-8292
(318) 490-4364
Mailing address
235 DESIARD ST., MONROE, LA 71201
(318) 329-8292
(318) 490-4364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
390
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401609
—
LA
Enumeration date
05/31/2005
Last updated
07/14/2020
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