Provider Demographics
NPI:1003020314
Name:FAMILY CIRCLE INC.
Entity Type:Organization
Organization Name:FAMILY CIRCLE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-896-5857
Mailing Address - Street 1:601 LOIRE AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-2477
Mailing Address - Country:US
Mailing Address - Phone:337-896-5857
Mailing Address - Fax:337-896-5858
Practice Address - Street 1:601 LOIRE AVE
Practice Address - Street 2:SUITE G
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-2477
Practice Address - Country:US
Practice Address - Phone:337-896-5857
Practice Address - Fax:337-896-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11578251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1676314Medicaid