Organization
EXCEEDS THEIR NEEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LECOUR (EXECUTIVE DIRECTOR)
(504) 366-8801
Entity
Organization
Contact information
Practice address
4266 W MAIN ST, GRAY, LA 70359-6409
(985) 876-2198
Mailing address
1500 LAFAYETTE ST STE 150, GRETNA, LA 70053-5799
(504) 366-8801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA14021
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215027149
—
LA
05
—
1285706820
—
LA
05
—
1336228964
—
LA
05
—
1356425573
—
LA
05
—
1508943531
—
LA
05
—
1801969407
—
LA
05
—
1811060452
—
LA
Enumeration date
02/21/2008
Last updated
02/21/2008
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