Healthcare Provider Details

I. General information

NPI: 1114114402
Provider Name (Legal Business Name): UNITED HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 EXPO CIR
WEST MONROE LA
71292-9495
US

IV. Provider business mailing address

213 EXPO CIR
WEST MONROE LA
71292-9495
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-9090
  • Fax: 318-329-1048
Mailing address:
  • Phone: 318-329-9264
  • Fax: 318-329-1048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberPCA10475
License Number StateLA

VIII. Authorized Official

Name: ELIZABETH WARFORD
Title or Position: PROGRAM DIRECTOR
Credential: R.N.
Phone: 318-329-9090