Provider Demographics
NPI:1710154463
Name:AWESOME KARE, INC.
Entity Type:Organization
Organization Name:AWESOME KARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATROYA
Authorized Official - Middle Name:KANAYE
Authorized Official - Last Name:STATEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-390-4003
Mailing Address - Street 1:7207 DESIARD ST
Mailing Address - Street 2:SUITES A & B
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-3914
Mailing Address - Country:US
Mailing Address - Phone:318-390-4003
Mailing Address - Fax:318-390-1702
Practice Address - Street 1:7207 DESIARD ST
Practice Address - Street 2:SUITES A & B
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-3914
Practice Address - Country:US
Practice Address - Phone:318-390-4003
Practice Address - Fax:318-390-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty