Provider Demographics
NPI:1235317595
Name:PERSONAL CARE SERVICES,LLC
Entity Type:Organization
Organization Name:PERSONAL CARE SERVICES,LLC
Other - Org Name:PERSONAL CARE SERVICE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEARLIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:FLUGENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-886-3073
Mailing Address - Street 1:403 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-3520
Mailing Address - Country:US
Mailing Address - Phone:337-886-3073
Mailing Address - Fax:337-886-1413
Practice Address - Street 1:403 VETERANS DR
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-3520
Practice Address - Country:US
Practice Address - Phone:337-886-3073
Practice Address - Fax:337-886-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty