Provider Demographics
NPI:1467648337
Name:S & C TOTAL LIVING INC.
Entity Type:Organization
Organization Name:S & C TOTAL LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:SHANATEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-368-6226
Mailing Address - Street 1:1500 LAFAYETTE ST STE 119A
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-5759
Mailing Address - Country:US
Mailing Address - Phone:504-368-6226
Mailing Address - Fax:504-368-6282
Practice Address - Street 1:1500 LAFAYETTE ST STE 119A
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-5759
Practice Address - Country:US
Practice Address - Phone:504-368-6226
Practice Address - Fax:504-368-6282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1011941Medicaid