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NPI Code Detail

MEDICARE: BAYOU HEALTH ELDERLY & DISABLED CARE, INC.

MEDICARE: BAYOU HEALTH ELDERLY & DISABLED CARE, INC.
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
1253Z00000XIn Home Supportive Care Agency10682LA

General Provider Information

NPI Number : 1891924684
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYOU HEALTH ELDERLY & DISABLED CARE, INC.
Provider Business Mailing Address
First Line : 544 FREDERICK DR
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-6033
Country : US
Telephone Number : 985-384-8621
Fax Number : 985-384-8622
Provider Business Practice Location Address
First Line : 1201 BRASHEAR AVE STE 426
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-1358
Country : US
Telephone Number : 985-384-8621
Fax Number : 985-384-8622
Authorized Official
Title or Position : ADMINISTRATOR ASSISTANT
Name : MRS. VIRGINIA BENNETT
Credential :
Telephone Number : 985-384-8621
Provider Enumeration Date : 07/14/2009
Last Update Date : 03/12/2015

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Directions to “BAYOU HEALTH ELDERLY & DISABLED CARE, INC. ” Practice Location

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