Activities Of Daily Living Services
In Home Supportive Care in Breaux Bridge, LA. Organization (NPI-2).
NPI number1396969887
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1396969887
- Entity type
- Organization (NPI-2)
- Legal business name
- Activities Of Daily Living Services
- Organization subpart
- No
- Enumeration date
- Apr 13, 2007
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – |
Practice location
400 Richard StBreaux Bridge, LA 70517-6039
Phone 337-332-1810 · Fax 337-332-3300
Mailing address
400 Richard StBreaux Bridge, LA 70517-6039
Phone 337-332-1810 · Fax 337-332-3300
Authorized official
Stella Wiltz
Director Of Services
3373321810
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