Organization
JACKIE'S LOVIN ANGELS PROFESSIONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIETISCHA GRIFFIN (OWNER)
(504) 228-9571
Entity
Organization
Contact information
Practice address
316 FEDERAL DR, AVONDALE, LA 70094-2433
(504) 228-9571
Mailing address
316 FEDERAL DR, AVONDALE, LA 70094-2433
(504) 228-9571
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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