Organization Name: | ARCHANGEL PERSONAL CARE ATTENDANT SERVICES,LLC |
NPI Number: | 1073674867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSLAND DRIVER (EXECUTIVE DIRECTOR) |
Mailing Address: | 3501 Holiday Dr Suite 407 New Orleans |
State: | LA US |
Postal Code: | 701148202 |
Phone Number: | 5043660494 |
Fax Number: | 5043660492 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | PCA 11634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |