Provider Demographics
NPI:1306407259
Name:ANOTHER CHANCE ENTERPRISE PERSONAL CARE ATTENDANT SERVICE INCORPORATED
Entity Type:Organization
Organization Name:ANOTHER CHANCE ENTERPRISE PERSONAL CARE ATTENDANT SERVICE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-537-3252
Mailing Address - Street 1:2808 EVANGELINE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3750
Mailing Address - Country:US
Mailing Address - Phone:318-537-3252
Mailing Address - Fax:
Practice Address - Street 1:2808 EVANGELINE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3750
Practice Address - Country:US
Practice Address - Phone:318-537-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty