Organization
LIFE-LINE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIA ELLIS MITCHELL (ADMINISTRATOR)
(985) 224-2391
Entity
Organization
Contact information
Practice address
#2 DOMINICAN RD., LAPLACE, LA 70068
(985) 224-2391
(985) 224-2392
Mailing address
P.O. BOX 115, LORANGER, LA 70446
(985) 224-2391
(985) 224-2392
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
SIL 20188
LA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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