Individual
MR. FABIAN LLOYD WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9168 HIGHWAY 84, FERRIDAY, LA 71334-4604
(601) 493-4710
Mailing address
9168 HIGHWAY 84, FERRIDAY, LA 71334-4604
(601) 493-4710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
LA
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
LA
Other
Enumeration date
01/24/2024
Last updated
07/18/2024
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