Organization
TAILORED CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE J BRUCE RN (PRESIDENT)
(504) 881-1508
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD, BLG 5 STE 1, TERRYTOWN, LA 70056-3950
(504) 368-1512
(504) 368-1513
Mailing address
1405 MAPLEWOOD DR, HARVEY, LA 70058-3809
(504) 881-1505
(504) 368-6483
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435619
—
LA
Enumeration date
01/02/2008
Last updated
01/02/2008
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