Organization
BEDSIDE HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORLET TAYLOR SONNIER (ADMINISTRATOR/OWNER)
(337) 269-5885
Entity
Organization
Contact information
Practice address
1602 W PINHOOK RD STE 209, LAFAYETTE, LA 70508-3735
(337) 269-5885
(337) 269-5884
Mailing address
1602 W PINHOOK RD STE 209, LAFAYETTE, LA 70508-3735
(337) 269-5885
(337) 269-5884
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
15037
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073202
—
LA
Enumeration date
08/28/2008
Last updated
08/28/2008
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