Organization
ANGEL MANOR PCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAMUEL FORD (OWNER)
(337) 232-7761
Entity
Organization
Contact information
Practice address
708 S WASHINGTON ST, LAFAYETTE, LA 70501-6810
(337) 232-7761
(337) 232-7762
Mailing address
708 S WASHINGTON ST, LAFAYETTE, LA 70501-6810
(337) 232-7761
(337) 232-7762
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
10343
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1178179
—
LA
Enumeration date
11/28/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us