Organization
A PEACE OF MIND CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TARASA ANDERSON SW (EXECUTIVE DIRECTOR)
(504) 220-7845
Entity
Organization
Contact information
Practice address
116 OAK LN, B, LULING, LA 70070-2128
(985) 785-4451
(985) 785-4459
Mailing address
116 OAK LN, B, LULING, LA 70070-2128
(985) 785-4451
(985) 785-4459
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
20142
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20142
—
LA
Enumeration date
03/30/2009
Last updated
03/30/2009
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