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NPI Code Detail

MEDICARE: INSPIRATIONAL CARE LLC

MEDICARE: INSPIRATIONAL CARE 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 AgencyPCA15199LA

General Provider Information

NPI Number : 1811130776
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSPIRATIONAL CARE LLC
Provider Business Mailing Address
First Line : 126 CHARLOTTE CIR
Second Line :
City : MONROE
State : LA
Zip : 71202-3908
Country : US
Telephone Number : 318-343-4155
Fax Number : 318-343-9688
Provider Business Practice Location Address
First Line : 105 HIGHWAY 2
Second Line :
City : STERLINGTON
State : LA
Zip : 71280-3009
Country : US
Telephone Number : 318-665-0048
Fax Number : 318-665-2723
Authorized Official
Title or Position : OWNER
Name : MISS LUCILLE TUESNO
Credential :
Telephone Number : 318-665-0048
Provider Enumeration Date : 04/08/2009
Last Update Date : 04/08/2009

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