Organization
BEDSIDE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORLET TAYLOR SONNIER (ADMINISTRATOR/OWNER)
(504) 941-5881
Entity
Organization
Contact information
Practice address
1455 N. CLAIBORNE AVE., NEW ORLEANS, LA 70116
(504) 941-5881
Mailing address
1455 N. CLAIBORNE AVE., NEW ORLEANS, LA 70116
(504) 941-5881
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
15258
LA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
20190
LA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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