Organization
GRACE HOSPICE AND PALLIATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BERGERON (CEO)
(337) 948-9004
Entity
Organization
Contact information
Practice address
217 RUE LOUIS XIV STE 100, LAFAYETTE, LA 70508-5778
(337) 948-9004
Mailing address
217 RUE LOUIS XIV STE 100, LAFAYETTE, LA 70508-5778
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2203782734
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031780
—
LA
Enumeration date
04/10/2018
Last updated
11/27/2023
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