Organization
ELAINE'S PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALINCIA NICHOLS (CHIEF EXECUTIVE OFFICER)
(985) 516-8225
Entity
Organization
Contact information
Practice address
419 COLUMBIA ST, BOGALUSA, LA 70427-4500
(985) 205-3339
Mailing address
PO BOX 31, BOGALUSA, LA 70429-0031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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