Healthcare Provider Details

I. General information

NPI: 1841410966
Provider Name (Legal Business Name): ANGELS OF MERCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2948 HWY 112
LECOMPTE LA
71346
US

IV. Provider business mailing address

PO BOX 720
YOUNGSVILLE LA
70592-0720
US

V. Phone/Fax

Practice location:
  • Phone: 318-776-6443
  • Fax:
Mailing address:
  • Phone: 337-857-0322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number9134
License Number StateLA

VIII. Authorized Official

Name: JENNIFER H HEBERT
Title or Position: DIRECTOR
Credential:
Phone: 337-857-0322