Provider Demographics
NPI:1275746810
Name:SUPPORT HEALTHCARE SYSTEM
Entity Type:Organization
Organization Name:SUPPORT HEALTHCARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FILIPINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-684-1010
Mailing Address - Street 1:105 W EBEY ST
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-3523
Mailing Address - Country:US
Mailing Address - Phone:337-684-1010
Mailing Address - Fax:337-684-3813
Practice Address - Street 1:105 W EBEY ST
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-3523
Practice Address - Country:US
Practice Address - Phone:337-684-1010
Practice Address - Fax:337-684-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care