Organization
GOLDEN RULE CARE PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P MORAIN (OWNER)
(337) 623-4100
Entity
Organization
Contact information
Practice address
525 CLAUSE DR, BREAUX BRIDGE, LA 70517-4708
(337) 332-4005
Mailing address
525 CLAUSE DR, BREAUX BRIDGE, LA 70517-4708
(337) 332-4005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469181
—
LA
Enumeration date
08/30/2006
Last updated
08/03/2023
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