Organization Name: | LUCI'S TROOP LTC LLC |
NPI Number: | 1003003898 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCI ST. JULIEN (OWNER) |
Mailing Address: | 920 W Pinhook Rd Ste 338 Lafayette |
State: | LA US |
Postal Code: | 705032455 |
Phone Number: | 3372347031 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2007 |
NPI Last Update Date: | 06/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 15070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |