Provider Demographics
NPI:1528233483
Name:UNIVERSAL CARE LLC
Entity Type:Organization
Organization Name:UNIVERSAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-281-5305
Mailing Address - Street 1:5717 DESIARD ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-4793
Mailing Address - Country:US
Mailing Address - Phone:318-345-5600
Mailing Address - Fax:318-345-5604
Practice Address - Street 1:5717 DESIARD ST
Practice Address - Street 2:SUITE C
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-4793
Practice Address - Country:US
Practice Address - Phone:318-345-5600
Practice Address - Fax:318-345-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty