MEDICARE: VIDA L CARRIERE

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		LA

General Provider Information

NPI Number	:	1801721196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIDA L CARRIERE

Provider Business Mailing Address
First Line	:	30918 CREEK VALLEY DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-1829
Country	:	US
Telephone Number	:	225-955-2073
Fax Number	:	225-955-2073

Provider Business Practice Location Address
First Line	:	30918 CREEK VALLEY DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-1829
Country	:	US
Telephone Number	:	225-955-2073
Fax Number	:	225-955-2073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ VIDA L CARRIERE ” Practice Location

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