Organization · NPI-2

Provision Home Care And Transportation LLC

Technician, Attendant Care Provider · Lafayette, LA

NPI number1437867223
StatusActive
Last updated in NPPESNov 11, 2022

Details

NPI
1437867223
Entity type
Organization (NPI-2)
Legal business name
Provision Home Care And Transportation LLC
Organization subpart
No
Enumeration date
Nov 9, 2022
Certification date
Nov 11, 2022
Last updated
Nov 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

209 Eula Dr
Lafayette, LA 70506-6049

Phone 337-991-4372

Mailing address

209 Eula Dr
Lafayette, LA 70506

Phone 337-991-4372

Authorized official

Angelica Lynn Rochon
Staff Prof Cna/ Owner Operator
3379914372

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