Provider Demographics
NPI:1801038864
Name:A & L PERSONAL CARE, INC.
Entity Type:Organization
Organization Name:A & L PERSONAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:337-364-5551
Mailing Address - Street 1:435 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3644
Mailing Address - Country:US
Mailing Address - Phone:337-364-5551
Mailing Address - Fax:337-364-1550
Practice Address - Street 1:435 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3644
Practice Address - Country:US
Practice Address - Phone:337-364-5551
Practice Address - Fax:337-364-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health