Organization
JODISON PRIME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY ARCENEAUX (EXECUTIVE DIRECTOR)
(337) 948-2004
Entity
Organization
Contact information
Practice address
1220 SOUTH UNION STREET, SUITE 4, OPELOUSAS, LA 70570
(337) 948-2004
Mailing address
1220 SOUTH UNION STREET, SUITE 4, OPELOUSAS, LA 70570
(337) 948-2004
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11650
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624578
—
LA
Enumeration date
07/03/2007
Last updated
08/22/2020
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