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TUNSON PCA AGENCY LLC

Custodial Care Facility

Napoleonville, Louisiana

Provider NPI: 1104045269

Organization Information:
Organization Name:  TUNSON PCA AGENCY LLC


Practice Location:
4781 HWY 1 SOUTH  NAPOLEONVILLE, LA 70390 US
Tel: 985-369-7002  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
LAPCA 6989

Other Provider Identifiers:

IssuerNumberStateType
1509469LA05
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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