NPI 1538282371

Berachah Valley Corporation

Organisation Personal Care Attendant Vidalia, LA

Practice location

Address: 1619 Camellia St, Vidalia, LA 71373-3803
Phone: (318) 757-9718
Fax: (318) 757-0144
Mailing address: PO Box 296, Ferriday, LA 71334-0296

Authorised official

Name: Phillis Creek Burress
Title: Owner
Phone: (318) 757-9718

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 11729 (LA)

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Registry record

NPI: 1538282371
Entity type: Organization
NPI issued: 9 Apr 2007
Record last updated: 22 Aug 2020

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.