Organization
AUDUBON HOME HEALTH SOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND W BANKER JR. RN (OWNER)
(225) 218-8009
Entity
Organization
Contact information
Practice address
221 RUE DE JEAN STE 201, LAFAYETTE, LA 70508-3283
(337) 210-5124
(337) 456-4751
Mailing address
9256 INTERLINE AVE, BATON ROUGE, LA 70809-1907
(225) 218-8009
(225) 237-1170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2203781731
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444191
—
LA
Enumeration date
07/30/2013
Last updated
10/14/2022
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