Activities OD Daily Living Services Inc
Organization Active NPI In Home Supportive Care Agency · Breaux Bridge, LA
NPI 1306382817 · NPPES record last updated Jan 30, 2017
Key facts
- NPI
- 1306382817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 11226 (LA)
- Legal business name
- ACTIVITIES OD DAILY LIVING SERVICES INC
- Practice address
- 400 Richard St
Breaux Bridge, LA 70517-6039 - Phone
- (337) 332-1810
- Fax
- (337) 332-3300
- NPI assigned
- Jan 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Stella Wiltz
- Title
- Owner/Administrator
- Phone
- (337) 332-1810
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Activities of Daily Living Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 11226 | LA | Yes |
Addresses
Primary practice location
400 Richard St
Breaux Bridge, LA 70517-6039
Mailing address
400 Richard St
Breaux Bridge, LA 70517-6039
Phone (337) 332-1810
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306382817 | Medicaid | LA |
Other providers in Breaux Bridge, LA
- A New Day ABA Therapy Center
- A New Day Counseling Center
- A New Day Counseling Center, LLC
- Activities of Daily Living
- Activities of Daily Living Behavioral Health Services Inc
- Activities of Daily Living Services
- Activities of Daily Living Services Inc
- Alta Alexander
All providers in Breaux Bridge, LA · In Home Supportive Care Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.