Provider Demographics
NPI:1073801049
Name:FAMILY CARE GIVING
Entity Type:Organization
Organization Name:FAMILY CARE GIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVILLIER
Authorized Official - Suffix:
Authorized Official - Credentials:PCP
Authorized Official - Phone:985-774-1844
Mailing Address - Street 1:108 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-6212
Mailing Address - Country:US
Mailing Address - Phone:985-774-1844
Mailing Address - Fax:985-288-5027
Practice Address - Street 1:108 CEDAR LN
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-6212
Practice Address - Country:US
Practice Address - Phone:985-774-1844
Practice Address - Fax:985-288-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10171342#83C42311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home