Organization
ARCHANGEL PERSONAL CARE ATTENDANT SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSLAND RENEE' DRIVER RN,MPA (DIRECTOR)
(504) 366-0494
Entity
Organization
Contact information
Practice address
3501 HOLIDAY DR, 407, NEW ORLEANS, LA 70114-8202
(504) 366-0494
(504) 366-0492
Mailing address
3501 HOLIDAY DR, 407, NEW ORLEANS, LA 70114-8202
(504) 366-0494
(504) 366-0492
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA11634
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1349992
—
LA
05
—
1454826
—
LA
05
—
1629201
—
LA
05
—
1733407
—
LA
Enumeration date
12/13/2007
Last updated
12/13/2007
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