Organization
LIVE TO ASSIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAWANNA KAY PROUT (PRESIDENT)
(504) 307-5920
Entity
Organization
Contact information
Practice address
1065 BEECHWOOD DR, HARVEY, LA 70058-4330
(504) 307-5920
(504) 762-2309
Mailing address
1065 BEECHWOOD DR, HARVEY, LA 70058-4330
(504) 307-5920
(504) 762-2309
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
35192740
LA
253Z00000X
In Home Supportive Care Agency
35192740
LA
347C00000X
Private Vehicle
35192740
LA
385H00000X
Respite Care
Primary
35192740
LA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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