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Contact Information

LIFE AT HOME, LLC
LIFE AT HOME LLC
736 NORTH PINE ST
DERIDDER, LA70634
 Phone: 337-463-3595
 Fax: 337-463-3919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for LIFE AT HOME, LLC

NPI Number 1083834253
LBN Legal business name LIFE AT HOME, LLC
Authorized official DAISY HOLMES - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2007
Last updated 03/20/2015 - About 11 years ago
Identifiers
LA License # 12352
LA Medicaid 1134767
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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