| Organization Name: | MY PERSONAL CARE ATTENDANT LLC |
| NPI Number: | 1598135683 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODERICK JENKINS (OWNER) |
| Mailing Address: | 106 Catalpa St Monroe |
| State: | LA US |
| Postal Code: | 712017419 |
| Phone Number: | 3183873545 |
| Fax Number: | 3183873541 |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 2203781269 |
| 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 |