Organization
LAFAYETTE COUNCIL ON AGING, INC.
Active
Other names
Personal Care Attendant
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY W. BAKER (DIRECTOR OF PROGRAMS AND PERSONNEL)
(337) 262-5990
Entity
Organization
Contact information
Practice address
160 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 262-5990
(337) 262-1365
Mailing address
160 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 262-5990
(337) 262-1365
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
RC 13001
LA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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