Organization
MEDICAL ADVANTAGE CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL PROVOST OLIVIER (EXECUTIVE DIRECTOR)
(337) 365-4052
Entity
Organization
Contact information
Practice address
216 8TH ST, LAFAYETTE, LA 70501-7163
(337) 269-1629
(337) 269-1628
Mailing address
216 8TH ST, LAFAYETTE, LA 70501-7163
(337) 269-1629
(337) 269-1628
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
11344
LA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1188336
PCA PROVIDER NUMBER
LA
Enumeration date
04/27/2007
Last updated
02/08/2022
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