Provider Demographics
NPI:1235723818
Name:AN ANGEL AT YOUR SIDE
Entity Type:Organization
Organization Name:AN ANGEL AT YOUR SIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:DNAEE
Authorized Official - Last Name:LAWDINS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:832-684-7394
Mailing Address - Street 1:326 MINERAL RD STE 600
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-7104
Mailing Address - Country:US
Mailing Address - Phone:337-330-2108
Mailing Address - Fax:337-330-2113
Practice Address - Street 1:326 MINERAL RD STE 600
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-7104
Practice Address - Country:US
Practice Address - Phone:337-330-2108
Practice Address - Fax:337-330-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty