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CASANDRA KIMBERLAIN TUMBLIN B.A.

Adult Care Home

La Place, Louisiana

Provider NPI: 1922151091

Provider Information:
 CASANDRA KIMBERLAIN TUMBLIN B.A.


Practice Location:
1805 VIRGINIAN COLONY AVE  LA PLACE, LA 70068 US
Tel: 985-210-3358  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747P1801XNursing Service Related Providers
Technician
Personal Care Attendant
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
LA005181316

Other Provider Identifiers:

IssuerNumberStateType
1922151091LA05
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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