Organization
PELICAN STATE HOME AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISHONDRA ANDRELL NOEL (OWNER)
(985) 601-1581
Entity
Organization
Contact information
Practice address
7552 MAIN ST, HOUMA, LA 70360-4218
(985) 852-6586
(888) 765-1319
Mailing address
7552 MAIN ST, HOUMA, LA 70360-4218
(985) 852-6586
(888) 765-1319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/24/2021
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