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General NPI Number Information
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NPI Number | 1700242716
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Entity Type | Organization
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Legal Business Name | BAYOU HOME CARE NEW ORLEANS
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 4300 S I 10 SERVICE RD W SUITE 204A
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City | METAIRIE
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State | LA
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Zip | 70001-7405
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Country | US
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Telephone | 504-835-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 232 CIVIC CENTER BLVD
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City | HOUMA
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State | LA
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Zip | 70360-5936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DONALD LIRETTE
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Credential |
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Telephone | 985-860-4281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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