Organization
L A HOMECARE 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BASIEL WILLIAMS (ADMINISTRRATOR)
(985) 878-2273
Entity
Organization
Contact information
Practice address
146 HWY 40, C, INDEPENDENCE, LA 70443
(985) 878-2273
(985) 878-9534
Mailing address
PO BOX 1647, NATALBANY, LA 70451-1647
(985) 878-2273
(985) 878-9534
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA10562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320382
—
LA
Enumeration date
10/10/2008
Last updated
10/10/2008
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