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Organization

PERSONAL CARE SERVICES - WAIVER

Active
Parent organization
PERSONAL CARE SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERSONAL CARE SERVICES
Authorized official
MRS. ANNETTE AUSTIN (CEO)
(225) 261-0160
Entity
Organization

Contact information

Practice address
6659 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 261-0160
Mailing address
6659 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 261-0160

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 8370
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1102733
LA
Enumeration date
07/02/2008
Last updated
07/02/2008
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