Organization
AGING CARE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS E DAVIS (CHIEF FINANCIAL OFFICER)
(318) 324-9076
Entity
Organization
Contact information
Practice address
101 N 2ND ST, STE 101, WEST MONROE, LA 71291-3253
(318) 324-9076
(318) 324-9088
Mailing address
101 N 2ND ST, STE 101, WEST MONROE, LA 71291-3253
(318) 324-9076
(318) 324-9088
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
420
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400254
—
LA
Enumeration date
05/24/2005
Last updated
08/22/2020
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