Body & Soul Services Inc

Organization Active NPI In Home Supportive Care Agency · Bastrop, LA

NPI 1003075870 · NPPES record last updated Jun 27, 2024

Key facts

NPI
1003075870
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BODY & SOUL SERVICES INC
Practice address
5743 Mer Rouge Rd
Bastrop, LA 71220-9765
Phone
(318) 283-3299
Fax
(318) 283-3298
NPI assigned
Jun 5, 2008
Organization subpart
No

Authorized official

Name
Derenda Flowers
Title
Vice-President
Phone
(318) 376-1113

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Body Soul Servicesinc (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

5743 Mer Rouge Rd
Bastrop, LA 71220-9765

Mailing address

803 Brisco Ave
Bastrop, LA 71220-5161
Phone (318) 283-3299

Other identifiers

IdentifierTypeStateIssuer
1004375MedicaidLA

Other providers in Bastrop, LA

All providers in Bastrop, LA · In Home Supportive Care Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.