Organization
ANGEL LOVIN' CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN D DESSELLES R.N. (ADMINISTRATOR)
(318) 445-3141
Entity
Organization
Contact information
Practice address
2131 WETTERMARK ST, ALEXANDRIA, LA 71301-3753
(318) 445-3141
(318) 445-3149
Mailing address
2131 WETTERMARK ST, ALEXANDRIA, LA 71301-3753
(318) 445-3141
(318) 445-3149
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
311ZA0620X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172197
—
LA
Enumeration date
05/03/2007
Last updated
08/22/2020
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