Organization
ANGELS HEARTS HOME CARE LLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE OLIVER TUNSON (OWNER)
(877) 369-7002
Entity
Organization
Contact information
Practice address
401 AUDUBON BLVD, STE 204B, LAFAYETTE, LA 70503-2676
(877) 369-7002
Mailing address
401 AUDUBON BLVD, STE 204B, LAFAYETTE, LA 70503-2676
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203781022
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2175068
—
LA
Enumeration date
01/18/2012
Last updated
04/12/2012
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