Entrum Care Inc

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

NPI 1144459199 · NPPES record last updated Apr 3, 2012

Key facts

NPI
1144459199
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
1625493 (LA)
Legal business name
ENTRUM CARE INC
Practice address
6235 Highway 157
Haughton, LA 71037-7647
Phone
(318) 949-1828
Fax
(318) 949-1825
NPI assigned
Jul 13, 2009
Organization subpart
No

Authorized official

Name
Marie Fuller, CMA, MA, MBA
Title
Administrator
Phone
(318) 949-1828

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Entrum Care Inc (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1625493 LA Yes

Addresses

Primary practice location

6235 Highway 157
Haughton, LA 71037-7647

Mailing address

6235 Highway 157 South
PO Box 1265
Haughton, LA 71037-7647
Phone (318) 949-1828

Other identifiers

IdentifierTypeStateIssuer
1625493MedicaidLA

Other providers in Haughton, LA

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

Sources for this page

Verify at the official NPI Registry.