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NPI Code Detail

MEDICARE: ADMIRABLE AIDES LLC

MEDICARE: ADMIRABLE AIDES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1053049452
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADMIRABLE AIDES LLC
Provider Business Mailing Address
First Line : 1318 QUINCY DR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-8221
Country : US
Telephone Number : 870-888-0845
Fax Number : 870-464-2212
Provider Business Practice Location Address
First Line : 1327 N WASHINGTON
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-2067
Country : US
Telephone Number : 870-888-0845
Fax Number : 870-464-2212
Authorized Official
Title or Position : RN ADMINISTRATOR
Name : MARY ANN GILMORE
Credential : RN
Telephone Number : 870-888-0845
Provider Enumeration Date : 08/12/2022
Last Update Date : 08/12/2022

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Directions to “ADMIRABLE AIDES LLC ” Practice Location

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