MEDICARE: ARENA SITTING SERVICE PCA,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
1	253Z00000X	In Home Supportive Care Agency	PCA15180	LA

General Provider Information

NPI Number	:	1326288895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARENA SITTING SERVICE PCA,LLC.

Provider Business Mailing Address
First Line	:	3814 VETERAN MEMORIAL BLVD.
Second Line	:	STE.# 202
City	:	METAIRIE
State	:	LA
Zip	:	70002
Country	:	US
Telephone Number	:	504-889-8380
Fax Number	:	504-889-8390

Provider Business Practice Location Address
First Line	:	3814 VETERANS BLVD.
Second Line	:	STE.# 202
City	:	METAIRIE
State	:	LA
Zip	:	70002
Country	:	US
Telephone Number	:	504-889-8380
Fax Number	:	504-889-8390

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. SHIRLEY ANN OSBORNE
Credential	:	LPN
Telephone Number	:	504-472-9961

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	02/24/2009

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