Organization
COMMUNITY CARE ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TYRELL HICKS (CEO)
(337) 365-8008
Entity
Organization
Contact information
Practice address
203 W MAIN ST STE 104, NEW IBERIA, LA 70560-3795
(337) 365-8008
Mailing address
203 W MAIN ST STE 104, NEW IBERIA, LA 70560-3795
(337) 365-8008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
LA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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