| Organization Name: | HARBOR HOSPICE OF OAKDALE, LLC |
| NPI Number: | 1033313200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD THIBODAUX (CHIEF DATA OFFICER) |
| Mailing Address: | 209 N 16th St Oakdale |
| State: | LA US |
| Postal Code: | 714632211 |
| Phone Number: | 3183355029 |
| Fax Number: | 3183355066 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |