| Organization Name: | CHEZ ELMA |
| NPI Number: | 1063802379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | APRIL JESSICA MONTGOMERY-COLE (REGIONAL DIRECTOR) |
| Mailing Address: | 2544 Hwy 20 Vacherie |
| State: | LA US |
| Postal Code: | 70090 |
| Phone Number: | 2252654366 |
| Fax Number: | 2252652263 |
| NPI Enumeration Date: | 01/26/2015 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 2203782219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |