Organization
LEE ANNS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEE ANN HAGGENS (OWNER)
(225) 687-8137
Entity
Organization
Contact information
Practice address
57835 HAASE ST, PLAQUEMINE, LA 70764-3329
(225) 687-8137
(225) 687-6311
Mailing address
57835 HAASE ST, P O BOX 1422, PLAQUEMINE, LA 70764-3329
(225) 687-8137
(225) 687-6311
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
14041
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008702
—
LA
05
—
1024503
—
LA
05
—
1031119
—
LA
Enumeration date
04/22/2008
Last updated
06/16/2008
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