Organization Name: | EVERLINES LOVING ARMS, LLC |
NPI Number: | 1013391580 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TEMEKA LESHEA GREEN (DIRECTOR) |
Mailing Address: | 102 Bellevue St 1000 Benton |
State: | LA US |
Postal Code: | 710069512 |
Phone Number: | 3189650343 |
Fax Number: | 3189650353 |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 2203782330 |
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 |