Healthcare Provider Details

I. General information

NPI: 1740447879
Provider Name (Legal Business Name): GALVEZ PERSONAL CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SAINT ROSE AVE
SAINT ROSE LA
70087-3710
US

IV. Provider business mailing address

103 SAINT ROSE AVE
SAINT ROSE LA
70087-3710
US

V. Phone/Fax

Practice location:
  • Phone: 504-338-9295
  • Fax:
Mailing address:
  • Phone: 504-338-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number15030
License Number StateLA

VIII. Authorized Official

Name: MS. THERESA P FISHER
Title or Position: OWNER
Credential:
Phone: 504-338-9295