Organization
BRAXTONS HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA DENISE BRAXTON (OWNER)
(985) 474-6793
Entity
Organization
Contact information
Practice address
705 FISHER LN, KENTWOOD, LA 70444-2023
(985) 474-6793
Mailing address
1413 AVENUE L, KENTWOOD, LA 70444-3038
(985) 474-6793
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008430288
—
LA
Enumeration date
08/10/2021
Last updated
08/10/2021
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