Provider Demographics
NPI:1508017401
Name:BAYOU MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:BAYOU MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-580-2273
Mailing Address - Street 1:504 W 2ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3000
Mailing Address - Country:US
Mailing Address - Phone:985-449-0711
Mailing Address - Fax:985-449-0713
Practice Address - Street 1:504 W 2ND ST STE 1
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-3000
Practice Address - Country:US
Practice Address - Phone:985-449-0711
Practice Address - Fax:985-449-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care