Provider Demographics
NPI:1669664868
Name:ALL ABOUT CARE INC
Entity Type:Organization
Organization Name:ALL ABOUT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-322-0212
Mailing Address - Street 1:PO BOX 2826
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71294-2826
Mailing Address - Country:US
Mailing Address - Phone:318-322-0212
Mailing Address - Fax:318-322-7544
Practice Address - Street 1:512 STELLA ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291
Practice Address - Country:US
Practice Address - Phone:318-322-0212
Practice Address - Fax:318-322-7544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 10837251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1192503Medicaid