| Organization Name: | BAYOU INDUSTRIAL MAINTENANCE SERVICES, INC. |
| NPI Number: | 1114250743 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA R DUPRE (INTERIM EXECUTIVE DIRECTOR) |
| Mailing Address: | 2675 4th St Berwick |
| State: | LA US |
| Postal Code: | 703422835 |
| Phone Number: | 9853842003 |
| Fax Number: | 9853852881 |
| NPI Enumeration Date: | 09/15/2009 |
| NPI Last Update Date: | 09/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | PCA2737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |