Healthcare Provider Details

I. General information

NPI: 1164586327
Provider Name (Legal Business Name): ANGELIC TOUCH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 EVANGELINE BLVD
SAINT MARTINVILLE LA
70582-4541
US

IV. Provider business mailing address

PO BOX 615
SAINT MARTINVILLE LA
70582-0615
US

V. Phone/Fax

Practice location:
  • Phone: 337-394-3840
  • Fax: 337-394-7762
Mailing address:
  • Phone: 337-394-3840
  • Fax: 337-394-7762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANNE D CHAMPAGNE
Title or Position: ADMINISTRATOR
Credential:
Phone: 337-394-3840