Organization
AT HOME HEALTHCARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA T VIDEAU FAMILY NURSE PRACTIT (OWNER/FAMILY NURSE PRACTITIONER)
(504) 296-1620
Entity
Organization
Contact information
Practice address
8427 BEECHWOOD CT, NEW ORLEANS, LA 70127-1901
(504) 296-1620
Mailing address
240 RALEIGH DR, SLIDELL, LA 70460-8805
(504) 296-1620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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