Organization
NEW LIFE PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEVELLE LIESA FORD (OWNER)
(225) 721-1647
Entity
Organization
Contact information
Practice address
234 LITTLE JOHN DR, BATON ROUGE, LA 70815-6124
(225) 272-2234
Mailing address
234 LITTLE JOHN DR, BATON ROUGE, LA 70815-6124
(225) 272-2234
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15280
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803430
—
LA
Enumeration date
05/11/2010
Last updated
05/11/2010
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