Healthcare Provider Details

I. General information

NPI: 1699270843
Provider Name (Legal Business Name): ALL ABOUT YOU HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 COMMON ST STE 100
LAKE CHARLES LA
70601-8575
US

IV. Provider business mailing address

3109 COMMON ST STE 100
LAKE CHARLES LA
70601-8575
US

V. Phone/Fax

Practice location:
  • Phone: 337-602-6145
  • Fax: 337-474-2591
Mailing address:
  • Phone: 337-602-6145
  • Fax: 337-474-2591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateLA

VIII. Authorized Official

Name: SATRICA D WILLIAMS
Title or Position: ADMINISTRATOR
Credential: JD
Phone: 337-794-7931