Provider Demographics
NPI:1124595202
Name:TRUTH PROFESSIONAL CARE SERVICES
Entity Type:Organization
Organization Name:TRUTH PROFESSIONAL CARE SERVICES
Other - Org Name:TRUTH PROFESSIONAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEWANNA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:SWAINGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-810-8576
Mailing Address - Street 1:1303 TOWN CENTER PKWY UNIT 10215
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8090
Mailing Address - Country:US
Mailing Address - Phone:504-810-8576
Mailing Address - Fax:
Practice Address - Street 1:7240 CROWDER BLVD STE 402
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1923
Practice Address - Country:US
Practice Address - Phone:504-810-8576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========Medicaid