Provider Demographics
NPI:1629123757
Name:MCDOWELL BOSTON AND ASSOCIATES
Entity Type:Organization
Organization Name:MCDOWELL BOSTON AND ASSOCIATES
Other - Org Name:ALL ABOUT YOU SUPPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BRANDLY
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:318-878-4510
Mailing Address - Street 1:712 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:LA
Mailing Address - Zip Code:71232-2421
Mailing Address - Country:US
Mailing Address - Phone:318-878-4510
Mailing Address - Fax:318-878-4434
Practice Address - Street 1:712 FIRST ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:LA
Practice Address - Zip Code:71232-2421
Practice Address - Country:US
Practice Address - Phone:318-878-4510
Practice Address - Fax:318-878-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10060251E00000X
LA10059251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1197637Medicaid
LA1192121Medicaid
LA1197051Medicaid