Provider Demographics
NPI:1811208937
Name:NEW DIMENSION PERSONAL CARE SERVICES
Entity Type:Organization
Organization Name:NEW DIMENSION PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:225-931-0919
Mailing Address - Street 1:2036 WOODDALE BLVD STE N
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1518
Mailing Address - Country:US
Mailing Address - Phone:225-930-0919
Mailing Address - Fax:225-930-0917
Practice Address - Street 1:2036 WOODDALE BLVD STE N
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1518
Practice Address - Country:US
Practice Address - Phone:225-930-0919
Practice Address - Fax:225-930-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA 15281253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care