Organization
VACHERIE PERSONAL CARE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL JESSICA MONTGOMERY (OWNER)
(985) 601-3157
Entity
Organization
Contact information
Practice address
154 N HOLLYWOOD RD, HOUMA, LA 70364-2806
(985) 601-3157
(985) 746-4163
Mailing address
154 N HOLLYWOOD RD, HOUMA, LA 70364-2806
(985) 601-3157
(985) 746-4163
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629243
—
LA
Enumeration date
11/15/2007
Last updated
03/12/2019
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