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Contact Information

CASSANDRA D BRAXTON
705 FISHER LN
KENTWOOD, LA70444
 Phone: 985-474-6793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CASSANDRA D BRAXTON · (Female)

NPI Number 1649944356
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2021
Last updated 08/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 008683583
  • LA Medicaid 008430288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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