Organization
EXTRA MILE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BASTISTE (OWNER)
(985) 974-2434
Entity
Organization
Contact information
Practice address
503 N HOLLY ST APT B, HAMMOND, LA 70401-2618
(985) 974-2434
Mailing address
503 N HOLLY ST APT B, HAMMOND, LA 70401-2618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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