Organization
BAYOU HOME BUREAU CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANETTA MARTIN (OWNER/PRESIDENT)
(318) 556-0043
Entity
Organization
Contact information
Practice address
8057 WILLIARD RD, BASTROP, LA 71220-8939
(318) 556-0043
(318) 556-3633
Mailing address
PO BOX 561, BASTROP, LA 71221-0561
(318) 556-0043
(318) 556-3633
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA 8246
LA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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