Organization
STAT HOME HEALTH-WEST, LLC
Active
Other names
STAT Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK T MITCHELL (OWNER)
(225) 791-7921
Entity
Organization
Contact information
Practice address
1724 HERMAN DUPUIS RD STE B, BREAUX BRIDGE, LA 70517-8537
(337) 228-1396
(225) 791-7929
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 791-7921
(225) 791-7929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1020
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121
LOUISIANA DHH LICENSE
LA
05
—
1403733
—
LA
Enumeration date
09/27/2006
Last updated
08/15/2019
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