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Organization

LAFAYETTE COUNCIL ON AGING, INC.

Active
Parent organization
LAFAYETTE COUNCIL ON AGING, INC.
Other names
Personal Care Attendant
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAFAYETTE COUNCIL ON AGING, INC.
Authorized official
MR. LARRY W. BAKER (DIRECRTOR OF PROGRAMS AND PERSONNEL)
(337) 262-5990
Entity
Organization

Contact information

Practice address
160 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 262-5990
(337) 262-1365
Mailing address
160 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 262-5990
(337) 262-1365

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
PCA 14023
LA

Other

Enumeration date
10/04/2007
Last updated
10/04/2007
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