is a Home Health in Bastrop, Louisiana. practices all healthcare services and medical treatments related to Home Health. The NPI Number for is 1255598231. The last update date is .
's current location address is 148 S Liberty St, Bastrop, Louisiana. You can contact this provider via phone number 3182837572 and fax number 3182837573. The mailing address for is 148 S Liberty St, Bastrop, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 148 S Liberty St, Bastrop, Louisiana |
| Phone Number | 3182837572 |
| Fax Number | 3182837573 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255598231 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 148 S Liberty St |
|---|---|
| City | Bastrop |
| State | Louisiana (LA) |
| Post Code | 712204623 |
| Phone Number | 3182837572 |
| Fax Number | 3182837573 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 7477 |
|
Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1529605 | LA | -- |
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