Organization
JOSIE B'S AFFECTIONATE CARE PCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMESETTA BUGGAGE TOLBERT (ADMINISTRATOR)
(985) 713-1647
Entity
Organization
Contact information
Practice address
201C SAINT MARY ST, THIBODAUX, LA 70301-2634
(985) 713-1647
Mailing address
201C SAINT MARY ST, THIBODAUX, LA 70301-2634
(985) 713-1647
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
14085
LA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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