Healthcare Provider Details
I. General information
NPI: 1982739413
Provider Name (Legal Business Name): CARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 N 2ND ST
MONROE LA
71201-6233
US
IV. Provider business mailing address
509 N 2ND ST
MONROE LA
71201-6233
US
V. Phone/Fax
- Phone: 318-362-0036
- Fax: 318-362-0165
- Phone: 318-362-0036
- Fax: 318-362-0165
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | PCA 10806 |
| License Number State | LA |
VIII. Authorized Official
Name: MRS.
ANTHONY
JACOLA
Title or Position: OWNER
Credential:
Phone: 318-362-0036