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Organization

BEAUREGARD MEMORIAL HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROXANA EVETTE VERRETT (OFFICE MANAGER)
(337) 462-7189
Entity
Organization

Contact information

Practice address
600 S PINE ST, DERIDDER, LA 70634-4942
(337) 462-7189
(337) 462-7455
Mailing address
600 S PINE ST, DERIDDER, LA 70634-4942
(337) 462-7189
(337) 462-7455

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1401838
LA
Enumeration date
11/22/2005
Last updated
08/03/2007
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