Organization Name: | AMEDISYS HOSPICE, LLC |
NPI Number: | 1043211592 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD LABORDE (PRESIDENT) |
Mailing Address: | 233 Saint Ann Dr Suite 2 Mandeville |
State: | LA US |
Postal Code: | 704713395 |
Phone Number: | 9856265550 |
Fax Number: | 9856265755 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 03/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2203781125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |