Organization Name: | ACCESS HEALTH LOUISIANA |
NPI Number: | 1598953036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRENTON BUSSEY (CFO) |
Mailing Address: | 16004 River Rd Norco |
State: | LA US |
Postal Code: | 700792040 |
Phone Number: | 9857649084 |
Fax Number: | 5045753691 |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | ADHC1975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |