Organization
PELICAN STATE HOME AND COMMUNITY SERVICES
Active
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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