Organization
THIBODAUX PDHC, LLC
Active
Other names
Thibodaux Pediatric Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AMANDA WILLIAMSON (OWNER)
(985) 446-1541
Entity
Organization
Contact information
Practice address
124 SUCRE LN, THIBODAUX, LA 70301-4214
(985) 446-1541
(985) 446-3864
Mailing address
124 SUCRE LN, THIBODAUX, LA 70301-4214
(985) 446-1541
(985) 446-3864
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
2203782237
LA
Other
Enumeration date
11/11/2014
Last updated
02/21/2017
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