Provider Demographics
NPI:1861654618
Name:MAJESTIC HOME CARE SERVICESLIMITEDLIABILITYCO
Entity Type:Organization
Organization Name:MAJESTIC HOME CARE SERVICESLIMITEDLIABILITYCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-473-8477
Mailing Address - Street 1:222 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-2528
Mailing Address - Country:US
Mailing Address - Phone:225-473-8477
Mailing Address - Fax:225-473-8476
Practice Address - Street 1:222 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-2528
Practice Address - Country:US
Practice Address - Phone:225-473-8477
Practice Address - Fax:225-473-8476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15061251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services