Organization
ANGEL LOVIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JEAN DESSELLES RN (OWNER)
(318) 442-6435
Entity
Organization
Contact information
Practice address
2131 WETTERMARK ST, ALEXANDRIA, LA 71301-3753
(318) 445-3141
(318) 445-3149
Mailing address
2131 WETTERMARK ST, ALEXANDRIA, LA 71301-3753
(318) 445-3141
(318) 445-3149
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148563
—
LA
Enumeration date
09/01/2006
Last updated
08/22/2020
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