Organization Name: | INFINITY PERSONAL CARE, INC |
NPI Number: | 1639452378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATRINA PERKINS (ADMINISTRATOR) |
Mailing Address: | 30163 Walker North Rd Ste F Walker |
State: | LA US |
Postal Code: | 707857302 |
Phone Number: | 2256670083 |
Fax Number: | 2256670093 |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | PCA15532 |
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 |