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NPI Code Detail

MEDICARE: CATHY E. MOORE'S RESPITE CARE & PCA SERVICES, INC.

MEDICARE: CATHY E. MOORE'S RESPITE CARE & PCA SERVICES, INC.
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 : 1447424387
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHY E. MOORE'S RESPITE CARE & PCA SERVICES, INC.
Provider Business Mailing Address
First Line : PO BOX 79
Second Line :
City : VIOLET
State : LA
Zip : 70092-0079
Country : US
Telephone Number : 504-278-2922
Fax Number : 504-278-2923
Provider Business Practice Location Address
First Line : 2626 CHARLES DR
Second Line :
City : CHALMETTE
State : LA
Zip : 70043-3779
Country : US
Telephone Number : 504-278-2922
Fax Number : 504-279-2923
Authorized Official
Title or Position : OWNER
Name : CATHY E MOORE
Credential :
Telephone Number : 504-278-2922
Provider Enumeration Date : 04/22/2008
Last Update Date : 08/08/2022

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