Healthcare Provider Details
I. General information
NPI: 1194032342
Provider Name (Legal Business Name): LOUISIANA HOSPICE & PALLIATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2010
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 LA RUE FRANCE SUITE 200
LAFAYETTE LA
70508-3133
US
IV. Provider business mailing address
PO BOX 51266
LAFAYETTE LA
70505-1266
US
V. Phone/Fax
- Phone: 337-235-8690
- Fax: 337-235-8789
- Phone: 337-233-1307
- Fax: 337-233-5764
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PETER
C.
NOVEMBER
II
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 337-233-1307