Organization
BLUE HERON CHRONIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET GARDINER MITCHELL REGISTERED NURSE (ADMINISTRATOR)
(337) 298-4112
Entity
Organization
Contact information
Practice address
104 S LEMANS ST, LAFAYETTE, LA 70503-4130
(337) 298-4112
(337) 233-1900
Mailing address
104 S LEMANS ST, LAFAYETTE, LA 70503-4130
(337) 298-4112
(337) 233-1900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
RN049882
LA
251J00000X
Nursing Care Agency
RN049882
LA
253Z00000X
In Home Supportive Care Agency
8172
LA
Other
Enumeration date
04/23/2010
Last updated
01/29/2016
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