Organization
HANSBERRY PERSONAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CHAISSON HANSBERRY (OWNER/ DIRECTOR)
(337) 662-5944
Entity
Organization
Contact information
Practice address
307 MARTIN LUTHER KING JR. DR, GRAND COTEAU, LA 70541
(337) 662-5944
(337) 662-5974
Mailing address
PO BOX 184, GRAND COTEAU, LA 70541-0184
(337) 662-5944
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 7255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008443
—
LA
05
—
1020613
—
LA
05
—
1622575
—
LA
Enumeration date
03/20/2008
Last updated
03/20/2008
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