Organization
ST MICHAEL HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE MORALES ADMINISTRATOR/RN (ADMINISTRATOR)
(225) 241-2420
Entity
Organization
Contact information
Practice address
19342 FLORIDA BLVD., ALBANY, LA 70711-0000
(225) 243-7358
(225) 673-3172
Mailing address
19342 FLORIDA BLVD, ALBANY, LA 70711-4110
(225) 243-7358
(225) 673-3172
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
155
LA
251G00000X
Community Based Hospice Care Agency
320
LA
251G00000X
Community Based Hospice Care Agency
Primary
344
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583910
—
LA
Enumeration date
09/25/2006
Last updated
06/12/2013
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