Organization
ANGELS HEARTS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TUNSON (OWNER)
(877) 369-7002
Entity
Organization
Contact information
Practice address
401 AUDUBON BLVD, STE 204B, LAFAYETTE, LA 70503-2676
(877) 369-7002
Mailing address
401 AUDUBON BLVD, STE 204B, LAFAYETTE, LA 70503-2676
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203781022
LA
253Z00000X
In Home Supportive Care Agency
22037810220
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC0007051
—
LA
Enumeration date
01/09/2012
Last updated
04/03/2012
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