Organization
ACTIVE ADULT DAY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE NJOKI MWAKITAWA (ADMINISTRATOR)
(337) 948-9067
Entity
Organization
Contact information
Practice address
333 E PRUDHOMME ST, OPELOUSAS, LA 70570-6490
(337) 948-9067
(337) 948-9064
Mailing address
333 E PRUDHOMME ST, OPELOUSAS, LA 70570-6490
(337) 948-9067
(337) 948-9064
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721468
—
LA
Enumeration date
05/10/2007
Last updated
08/22/2020
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