Provider Demographics
NPI:1548411861
Name:VISITING CARE ASSOCIATION SENIOR NETWORK, LLC
Entity Type:Organization
Organization Name:VISITING CARE ASSOCIATION SENIOR NETWORK, LLC
Other - Org Name:THE SENIOR ACTIVITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WHEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-340-7812
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:NATALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70451-1420
Mailing Address - Country:US
Mailing Address - Phone:985-340-7812
Mailing Address - Fax:
Practice Address - Street 1:44129 S AIRPORT RD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-0303
Practice Address - Country:US
Practice Address - Phone:985-340-7812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services