Organization
COMPASSION COMMUNITY SERV LLC
Active
Organization
COMPASSION COMMUNITY SERV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE MITCHELL JR. (PRES CEO)
(337) 367-5858
Entity
Organization
Contact information
Practice address
910 E MAIN ST, SUITE 23, NEW IBERIA, LA 70560
(337) 367-5858
(337) 364-1081
Mailing address
PO BOX 11857, NEW IBERIA, LA 70562-1857
(337) 367-5858
(337) 364-1081
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
PCA12828
LA
3747A0650X
Attendant Care Provider
Primary
PCA12828
LA
3747P1801X
Personal Care Attendant
PCA12828
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170496
—
LA
Enumeration date
05/01/2008
Last updated
05/27/2008
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