Provider Demographics
NPI:1245409093
Name:D & M PERSONAL CARE ATTENDANT SERVICE, LLC
Entity Type:Organization
Organization Name:D & M PERSONAL CARE ATTENDANT SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-357-9822
Mailing Address - Street 1:6014 LANIER DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70812-2312
Mailing Address - Country:US
Mailing Address - Phone:225-357-9822
Mailing Address - Fax:
Practice Address - Street 1:6014 LANIER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70812-2312
Practice Address - Country:US
Practice Address - Phone:225-357-9822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA105073747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1176362Medicaid