Provider Demographics
NPI:1184843997
Name:A-1 ABSOLUTE BEST CARE L.L.C.
Entity Type:Organization
Organization Name:A-1 ABSOLUTE BEST CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAPHNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:BA SOCIAL WORK
Authorized Official - Phone:504-368-0206
Mailing Address - Street 1:401 WHITNEY AVE
Mailing Address - Street 2:SUITE 316
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2558
Mailing Address - Country:US
Mailing Address - Phone:504-368-0206
Mailing Address - Fax:504-368-6338
Practice Address - Street 1:401 WHITNEY AVE
Practice Address - Street 2:SUITE 316
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-2558
Practice Address - Country:US
Practice Address - Phone:504-368-0206
Practice Address - Fax:504-368-6338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7374251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1543302Medicaid