Organization
WONDERFUL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTANA SMITH (MEMBER/MANAGER)
(318) 237-6822
Entity
Organization
Contact information
Practice address
610 RANDALL ST, BASTROP, LA 71220-4322
(318) 237-6822
Mailing address
PO BOX 923, BASTROP, LA 71221-0923
(318) 237-6822
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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