| Organization Name: | JODISON PRIME CARE, LLC |
| NPI Number: | 1093926461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDY ARCENEAUX (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1220 South Union St. Suite 4 Opelousas |
| State: | LA US |
| Postal Code: | 70570 |
| Phone Number: | 3379482004 |
| Fax Number: | 3379482024 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 11650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |