Provider Demographics
NPI:1114495512
Name:LA ASSISTANT SERVICES
Entity Type:Organization
Organization Name:LA ASSISTANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATONIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-802-4363
Mailing Address - Street 1:12428 CADLEY CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-1861
Mailing Address - Country:US
Mailing Address - Phone:904-802-4363
Mailing Address - Fax:904-713-0632
Practice Address - Street 1:12428 CADLEY CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-1861
Practice Address - Country:US
Practice Address - Phone:904-802-4363
Practice Address - Fax:904-713-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty