NPI 1073801049

Family Care Giving

Organisation Adult Care Home Facility Slidell, LA

Practice location

Address: 108 Cedar Ln, Slidell, LA 70460-6212
Phone: (985) 774-1844
Fax: (985) 288-5027

Authorised official

Name: Tonya Devillier
Title: Owner
Phone: (985) 774-1844

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 10171342#83C42 (LA)

Other Custodial Care Facility providers in Louisiana →

Registry record

NPI: 1073801049
Entity type: Organization
NPI issued: 12 Jul 2011
Record last updated: 26 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.