Healthcare Provider Details

I. General information

NPI: 1932391034
Provider Name (Legal Business Name): ALL ABOUT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 STELLA ST
WEST MONROE LA
71291
US

IV. Provider business mailing address

PO BOX 2826
WEST MONROE LA
71294-2826
US

V. Phone/Fax

Practice location:
  • Phone: 318-322-0212
  • Fax: 318-322-7544
Mailing address:
  • Phone: 318-322-0212
  • Fax: 318-322-7544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License NumberPCA 10837
License Number StateLA

VIII. Authorized Official

Name: MS. PAM WALL
Title or Position: VP OWNER
Credential:
Phone: 318-322-0212