Provider Demographics
NPI:1649414335
Name:DFALLC
Entity Type:Organization
Organization Name:DFALLC
Other - Org Name:CARING ANGEL CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZENOBIA
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:DAVISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-728-3488
Mailing Address - Street 1:213 NEWSON ST
Mailing Address - Street 2:SAME
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-3056
Mailing Address - Country:US
Mailing Address - Phone:318-728-3488
Mailing Address - Fax:318-728-3478
Practice Address - Street 1:213 NEWSON ST
Practice Address - Street 2:SAME
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-3056
Practice Address - Country:US
Practice Address - Phone:318-728-3488
Practice Address - Fax:318-728-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
LAPCA 15205311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home