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NPI Code Detail

MEDICARE: INFINITY PERSONAL CARE

MEDICARE: INFINITY PERSONAL CARE
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 AgencyPCA15532LA

General Provider Information

NPI Number : 1962784694
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITY PERSONAL CARE
Provider Business Mailing Address
First Line : 30163 WALKER NORTH RD
Second Line : SUITE F
City : WALKER
State : LA
Zip : 70785-7302
Country : US
Telephone Number : 225-667-0083
Fax Number : 225-667-0093
Provider Business Practice Location Address
First Line : 30163 WALKER NORTH RD
Second Line : SUITE F
City : WALKER
State : LA
Zip : 70785-7302
Country : US
Telephone Number : 225-667-0093
Fax Number : 225-667-0093
Authorized Official
Title or Position : ADMINISTRATOR
Name : KATRINA PERKINS
Credential :
Telephone Number : 225-667-0083
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “INFINITY PERSONAL CARE ” Practice Location

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