Provider Demographics
NPI:1124217278
Name:ACCENTS ATTENDANT CARE INC.
Entity Type:Organization
Organization Name:ACCENTS ATTENDANT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-664-5630
Mailing Address - Street 1:9403 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-2222
Mailing Address - Country:US
Mailing Address - Phone:225-664-5630
Mailing Address - Fax:225-664-0186
Practice Address - Street 1:9403 HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-2222
Practice Address - Country:US
Practice Address - Phone:225-664-5630
Practice Address - Fax:225-664-0186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11056251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1462161Medicaid