Provider Demographics
NPI:1407069289
Name:SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ST. ROMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-346-2540
Mailing Address - Street 1:POST OFFICE BOX 301
Mailing Address - Street 2:
Mailing Address - City:BUNKIE
Mailing Address - State:LA
Mailing Address - Zip Code:71322
Mailing Address - Country:US
Mailing Address - Phone:318-346-2540
Mailing Address - Fax:318-346-2546
Practice Address - Street 1:237 SW MAIN ST
Practice Address - Street 2:
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322-1780
Practice Address - Country:US
Practice Address - Phone:318-346-2540
Practice Address - Fax:318-346-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1458970251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1458970Medicaid