Provider Demographics
NPI:1891133567
Name:MOUNTAIN TOP SERVICES LLC
Entity Type:Organization
Organization Name:MOUNTAIN TOP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNE
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:CLARISSE
Authorized Official - Last Name:WANDA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:504-251-8477
Mailing Address - Street 1:3108 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4139
Mailing Address - Country:US
Mailing Address - Phone:504-251-8477
Mailing Address - Fax:504-469-5995
Practice Address - Street 1:1112 ENGINEERS RD
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-3131
Practice Address - Country:US
Practice Address - Phone:504-251-8477
Practice Address - Fax:504-469-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care