Kimberly Desha Dickerson in La Place - Home Health
Kimberly Desha Dickerson - NPI 1366632119
Kimberly Desha Dickerson is a Home Health in La Place, Louisiana. Kimberly Desha Dickerson practices all healthcare services and medical treatments related to Home Health. The NPI Number for Kimberly Desha Dickerson is 1366632119. The last update date is 2019-07-18.
Kimberly Desha Dickerson's current location address is 79 Derek Ln, La Place, Louisiana. You can contact this provider via phone number 9856183116 and fax number 9856183199. The mailing address for Kimberly Desha Dickerson is 79 Derek Ln, La Place, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Desha Dickerson |
|---|---|
| Address | 79 Derek Ln, La Place, Louisiana |
| Phone Number | 9856183116 |
| Fax Number | 9856183199 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1366632119 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2019-07-18 |
Provider Mailing Address Detail
| Address | 79 Derek Ln |
|---|---|
| City | La Place |
| State | Louisiana (LA) |
| Post Code | 700688401 |
| Phone Number | 9856183116 |
| Fax Number | 9856183199 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 163Wh0200X |
| Licence No | 7282 |
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Definition: A registered nurse who cares for homebound patients requiring skilled services. |
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What is the unique identification code assigned to Kimberly Desha Dickerson by the Centers for Medicare & Medicaid Services?
The Kimberly Desha Dickerson has been issued the NPI (National Provider Identifier) 1366632119. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kimberly Desha Dickerson is physically located?
The Kimberly Desha Dickerson is physically situated at the following address: 79 Derek Ln, La Place, LA, 700688401.
What is the Kimberly Desha Dickerson's specialty and taxonomy code?
The Kimberly Desha Dickerson's specialty is Home Health, and the corresponding taxonomy code is 163Wh0200X.
On what date did the Kimberly Desha Dickerson receive its 1366632119 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Desha Dickerson was assigned its 1366632119 by the Centers for Medicare & Medicaid Services on 2007-07-27.
When was the Kimberly Desha Dickerson's information last updated?
The Kimberly Desha Dickerson's information was last updated on 2019-07-18.
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