Organization
MY PERSONAL CARE ATTENDANT LLC
Active
Other names
MyPCA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK JENKINS (OWNER)
(318) 387-3545
Entity
Organization
Contact information
Practice address
106 CATALPA ST, MONROE, LA 71201-7419
(318) 387-3545
(318) 387-3541
Mailing address
106 CATALPA ST, MONROE, LA 71201-7419
(318) 387-3545
(318) 387-3541
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203781269
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031658
—
LA
05
—
1140473
—
LA
05
—
2327135
—
LA
Enumeration date
10/01/2015
Last updated
10/08/2015
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