Organization
LIFE REDESIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA DUNN MCCLAIN RN (CEO)
(225) 362-9991
Entity
Organization
Contact information
Practice address
13627 FOREST LAWN DR # 188, PRAIRIEVILLE, LA 70769-4588
(225) 362-9991
Mailing address
9618 JEFFERSON HWY STE D, BATON ROUGE, LA 70809-9636
(225) 362-9991
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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