Organization Name: | MAHOGANY HOSPICE CARE OF LOUISIANA, INC |
NPI Number: | 1639356868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY LOUIS SUGGS (EXECUTIVE DIRECTOR) |
Mailing Address: | 3414 Moss St Lafayette |
State: | LA US |
Postal Code: | 705076107 |
Phone Number: | 3372325992 |
Fax Number: | 3372325929 |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |