Organization
PEDIAKARE DE LOUSIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERITA MARIE NARCISSE (OWNER)
(337) 269-5505
Entity
Organization
Contact information
Practice address
4011 MOSS ST, LAFAYETTE, LA 70507-4119
(337) 269-5505
(337) 269-5506
Mailing address
4011 MOSS ST, LAFAYETTE, LA 70507-4119
(337) 269-5505
(337) 269-5506
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
LA
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
06/25/2025
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