Provider Demographics
NPI:1225610769
Name:PILUT HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:PILUT HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWANN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:225-485-4065
Mailing Address - Street 1:57805 NEW ERWIN DR
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-2325
Mailing Address - Country:US
Mailing Address - Phone:225-485-4065
Mailing Address - Fax:
Practice Address - Street 1:57805 NEW ERWIN DR
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-2325
Practice Address - Country:US
Practice Address - Phone:225-485-4065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care