National Provider Identifier Database

JODISON PRIME CARE LLC
Hospice Care, Community Based


Contact Information

JODISON PRIME CARE, LLC
1220 SOUTH UNION ST.
SUITE 4
OPELOUSAS, LA70570
Phone: 337-948-2004
Fax: 337-948-2024
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for JODISON PRIME CARE, LLC

NPI Number 1093926461
Legal business name
LBN
JODISON PRIME CARE, LLC
Authorized official SANDY ARCENEAUX - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/25/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 11650
  • LA Medicaid: 1623342
  • LA Medicaid: 1623351
  • LA Medicaid: 1624578

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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