Provider Demographics
NPI:1124200647
Name:NORA'S HOUSE ADULT DAY HEALTH CARE CENTER
Entity Type:Organization
Organization Name:NORA'S HOUSE ADULT DAY HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GALLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-325-6777
Mailing Address - Street 1:1103 SHERROUSE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-5233
Mailing Address - Country:US
Mailing Address - Phone:318-651-8666
Mailing Address - Fax:318-325-6773
Practice Address - Street 1:1411 SHERROUSE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-5435
Practice Address - Country:US
Practice Address - Phone:318-388-8550
Practice Address - Fax:318-325-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADHC 5040311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home