Organization
PARISHES SUPPORTIVE LIVING,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY VINING (CFO)
(985) 386-0898
Entity
Organization
Contact information
Practice address
112 S 3RD ST, PONCHATOULA, LA 70454-2602
(985) 386-0898
(985) 370-5788
Mailing address
112 S 3RD ST, PONCHATOULA, LA 70454-2602
(985) 386-0898
(985) 370-5788
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154318
—
LA
05
—
1173487
—
LA
05
—
1184004
—
LA
05
—
1186775
—
LA
05
—
1454176
—
LA
05
—
1465658
—
LA
05
—
1526568
—
LA
05
—
1622338
—
LA
05
—
1627879
—
LA
05
—
1723436
—
LA
05
—
1723924
—
LA
05
—
1725293
—
LA
05
—
1731048
—
LA
05
—
1743411
—
LA
Enumeration date
01/31/2008
Last updated
01/31/2008
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