Healthcare Provider Details
I. General information
NPI: 1093295644
Provider Name (Legal Business Name): NURSES DIRECT, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2018
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 RUE IBERVILLE STE 700
LAFAYETTE LA
70508-3153
US
IV. Provider business mailing address
201 RUE IBERVILLE STE 700
LAFAYETTE LA
70508-3153
US
V. Phone/Fax
- Phone: 337-362-4004
- Fax: 337-600-1995
- Phone: 337-362-4004
- Fax: 337-600-1995
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARK
SAVOIE
Title or Position: MANAGER
Credential: LPN
Phone: 337-362-4004