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Contact Information

MAISON TECHE, LLC
7307 E OLD SPANISH TRL
JEANERETTE, LA70544-6100
 Phone: 337-276-4514
 Fax: 318-473-4360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MAISON TECHE, LLC

NPI Number 1922051796
LBN Legal business name MAISON TECHE, LLC
Authorized official BRENDA TARVER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 08/20/2008 - About 18 years ago
Identifiers
LA License # 464
LA Medicaid 1518395
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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