National Provider Identifier Database

THIBODAUX PDHC LLC
Medically Fragile Infants and Children Day Care

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).


Contact Information

THIBODAUX PDHC, LLC
124 SUCRE LN
THIBODAUX, LA70301-4214
Phone: 985-446-1541
Fax: 985-446-3864
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for THIBODAUX PDHC, LLC

NPI Number 1629474192
Legal business name
LBN
THIBODAUX PDHC, LLC
Authorized official MARY WILLIAMSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/11/2014
Last updated 02/21/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 2203782237

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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