MEDICARE: FRESHEALTH INC. DBA HOMEWATCH CAREGIVERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	NONE

General Provider Information

NPI Number	:	1770744542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESHEALTH INC. DBA HOMEWATCH CAREGIVERS

Provider Business Mailing Address
First Line	:	7354 ALBERTA DR
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4192
Country	:	US
Telephone Number	:	225-246-8537
Fax Number	:	225-246-8821

Provider Business Practice Location Address
First Line	:	7354 ALBERTA DR
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4192
Country	:	US
Telephone Number	:	225-246-8537
Fax Number	:	225-246-8821

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. WILLIAM H FRESHWATER
Credential	:
Telephone Number	:	225-246-8537

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/24/2008

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