Organization
AT HOME ASSISTED CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON STEWART (EXCUTIVE ADMINISTRATOR)
(318) 512-2304
Entity
Organization
Contact information
Practice address
1401 HUDSON LN, SUITE 206, MONROE, LA 71201-6068
(318) 807-0905
(318) 388-2163
Mailing address
1401 HUDSON LN, SUITE 206, MONROE, LA 71201-6068
(318) 807-0905
(318) 388-2163
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
15089
LA
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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