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HAMMOND TANGIPAHOA JUNETEENTH

Adult Care Home

Hammond, Louisiana

Provider NPI: 1205029535

Organization Information:
Organization Name:  HAMMOND TANGIPAHOA JUNETEENTH


Practice Location:
311 E MICHIGAN ST  HAMMOND, LA 70401 US
Tel: 985-510-0129  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
LA4127

Other Provider Identifiers:

IssuerNumberStateType
1119776LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS LA - Page 1