Organization
ANOINTED ANGELS HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA W BROOM (PROGRAM DIRECTOR)
(985) 853-8560
Entity
Organization
Contact information
Practice address
405 WESTSIDE BLVD STE 36, HOUMA, LA 70364-2396
(985) 853-8560
Mailing address
405 WESTSIDE BLVD STE 36, HOUMA, LA 70364-2396
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011339
—
LA
Enumeration date
08/22/2007
Last updated
08/22/2007
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