Organization
E D & J GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST DISON (OWNER)
(504) 272-0269
Entity
Organization
Contact information
Practice address
5602 6TH ST, VIOLET, LA 70092-3039
(504) 272-0269
(504) 272-0271
Mailing address
PO BOX 657, VIOLET, LA 70092-0657
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1597538
—
LA
Enumeration date
03/14/2007
Last updated
07/16/2008
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