Healthcare Provider Details

I. General information

NPI: 1225190275
Provider Name (Legal Business Name): A PLUS HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S STATE ST RM C
ABBEVILLE LA
70510-5149
US

IV. Provider business mailing address

120 S STATE ST RM C
ABBEVILLE LA
70510-5149
US

V. Phone/Fax

Practice location:
  • Phone: 337-385-2336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number6969
License Number StateLA

VIII. Authorized Official

Name: D. DONNIE PECANTTE
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 337-385-2336