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General NPI Number Information
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NPI Number | 1164411070
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Entity Type | Organization
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Legal Business Name | LEMICO INC
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4811 MONROE HWY
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City | BALL
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State | LA
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Zip | 71405-3945
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Country | US
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Telephone | 318-640-7422
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Fax | 318-640-7472
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Provider Business Mailing Address
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Address Line | 4811 MONROE HWY
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City | BALL
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State | LA
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Zip | 71405-3945
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Country | US
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Telephone | 318-640-7422
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Fax | 318-640-7472
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JANICE MARIE NELSON
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Credential | MSA
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Telephone | 318-640-7422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 11272
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 11272
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11274
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License Number State | LA
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