Healthcare Provider Details

I. General information

NPI: 1851253470
Provider Name (Legal Business Name): HELP FROM THE HEART ADULT DAYCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1642 CARTER ST STE 5
VIDALIA LA
71373-3140
US

IV. Provider business mailing address

1642 CARTER ST STE 5
VIDALIA LA
71373-3140
US

V. Phone/Fax

Practice location:
  • Phone: 256-695-9040
  • Fax:
Mailing address:
  • Phone: 256-695-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHAELA MONTE BLOODSAW
Title or Position: CEO
Credential:
Phone: 256-695-9040