Healthcare Provider Details

I. General information

NPI: 1821417841
Provider Name (Legal Business Name): ANYTIME PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 04/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W HUTCHINSON AVE
CROWLEY LA
70526-4124
US

IV. Provider business mailing address

1120 W HUTCHINSON AVE
CROWLEY LA
70526-4124
US

V. Phone/Fax

Practice location:
  • Phone: 337-788-7984
  • Fax: 337-788-7986
Mailing address:
  • Phone: 337-788-7984
  • Fax: 337-788-7986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH WAYNE RICHARD
Title or Position: CEO
Credential:
Phone: 337-788-7985