NPI 1205029535

Hammond Tangipahoa Juneteenth

Organisation Adult Care Home Facility Hammond, LA

Practice location

Address: 311 E Michigan St, Hammond, LA 70401-2650
Phone: (985) 510-0129
Fax: (985) 345-2844
Mailing address: 115 W Alabama Ave, Hammond, LA 70403-3913

Authorised official

Name: Geraldine L Young
Title: Admin
Phone: (985) 510-0129

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 4127 (LA)

Other Custodial Care Facility providers in Louisiana →

Registry record

NPI: 1205029535
Entity type: Organization
NPI issued: 21 Aug 2007
Record last updated: 21 Aug 2007

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.