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General NPI Number Information
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NPI Number | 1063802379
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Entity Type | Organization
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Legal Business Name | CHEZ ELMA ADULT DAY HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 154 N HOLLYWOOD RD STE C
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City | HOUMA
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State | LA
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Zip | 70364-2806
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Country | US
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Telephone | 985-601-3157
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Fax | 985-746-4163
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Provider Business Mailing Address
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Address Line | PO BOX 106
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City | VACHERIE
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State | LA
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Zip | 70090-0106
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Country | US
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Telephone | 225-265-4366
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Fax | 225-265-2263
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | MRS. APRIL JESSICA MONTGOMERY-COLE
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Credential |
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Telephone | 225-265-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 2203782219
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License Number State | LA
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