Organization
JABOURS PERSONAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARICE JABOUR (DIRECTOR/OWNER)
(985) 651-0817
Entity
Organization
Contact information
Practice address
1005 W AIRLINE HWY, LA PLACE, LA 70068-3714
(985) 651-0817
(985) 651-0212
Mailing address
1005 W AIRLINE HWY, LA PLACE, LA 70068-3714
(985) 651-0817
(985) 651-0212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 11435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706744
—
LA
Enumeration date
09/26/2006
Last updated
08/22/2020
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