Provider Demographics
NPI:1609080340
Name:BAYOU INDUSTRIAL MAINTENANCE SERVICES
Entity Type:Organization
Organization Name:BAYOU INDUSTRIAL MAINTENANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ONEZIPPE (O JAY)
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BARBIER
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR
Authorized Official - Phone:985-384-2003
Mailing Address - Street 1:2675 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:LA
Mailing Address - Zip Code:70342-2835
Mailing Address - Country:US
Mailing Address - Phone:985-384-2003
Mailing Address - Fax:985-385-2881
Practice Address - Street 1:2675 4TH ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:LA
Practice Address - Zip Code:70342-2835
Practice Address - Country:US
Practice Address - Phone:985-384-2003
Practice Address - Fax:985-385-2881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2514311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1919853OtherSUPERVISED INDEP. LIVING