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BAYOU INDUSTRIAL MAINTENANCE SERVICES

Adult Care Home

Berwick, Louisiana

Provider NPI: 1679695902

Organization Information:
Organization Name:  BAYOU INDUSTRIAL MAINTENANCE SERVICES


Practice Location:
2675 4TH ST  BERWICK, LA 70342 US
Tel: 985-384-2003  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
LA2513

Other Provider Identifiers:

IssuerNumberStateType
SUPERVISED INDEPEN LIVING1919713LA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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