Provider Demographics
NPI:1710982814
Name:WEST JEFFERSON HOME HEALTH & HOSPICE
Entity Type:Organization
Organization Name:WEST JEFFERSON HOME HEALTH & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-349-1610
Mailing Address - Street 1:128 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2670
Mailing Address - Country:US
Mailing Address - Phone:504-349-1610
Mailing Address - Fax:504-362-1056
Practice Address - Street 1:128 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:TERRYTOWN
Practice Address - State:LA
Practice Address - Zip Code:70056-2670
Practice Address - Country:US
Practice Address - Phone:504-349-1610
Practice Address - Fax:504-362-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA152251E00000X
LA101251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251G00000XAgenciesHospice Care, Community Based