Organization
MILLENNIUM HEALTH CARE SERVICES
Active
Other names
Millennium PCA Services
Organization subpart
No
Provider details
NPI number
Authorized official
DWAINE JOSEPH WOODS (EXECUTIVE DIRECTOR)
(225) 923-3117
Entity
Organization
Contact information
Practice address
921 N LOBDELL AVE, SUITE G-1, BATON ROUGE, LA 70806-8811
(225) 923-3117
(225) 923-3118
Mailing address
PO BOX 45301, BATON ROUGE, LA 70895-4301
(225) 923-3117
(225) 923-3118
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCA 11399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471593
—
LA
05
—
1475947
—
LA
Enumeration date
04/16/2007
Last updated
08/22/2020
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