Provider Demographics
NPI:1417194325
Name:A PLUS PERSONALHOME CARE, INC
Entity Type:Organization
Organization Name:A PLUS PERSONALHOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALENCIA
Authorized Official - Middle Name:FULLER
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-647-0580
Mailing Address - Street 1:909 E CORNERVIEW ST
Mailing Address - Street 2:#C
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-3620
Mailing Address - Country:US
Mailing Address - Phone:225-647-0580
Mailing Address - Fax:225-647-0581
Practice Address - Street 1:909 E CORNERVIEW ST
Practice Address - Street 2:#C
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-3620
Practice Address - Country:US
Practice Address - Phone:225-647-0580
Practice Address - Fax:225-647-0581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1756302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization