Provider Demographics
NPI:1023654134
Name:A AND T AZIZ ENTERPRISES, LLC
Entity type:Organization
Organization Name:A AND T AZIZ ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:TRANCA
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:FARVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-888-9952
Mailing Address - Street 1:5864 PRESCOTT RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-5333
Mailing Address - Country:US
Mailing Address - Phone:404-905-2152
Mailing Address - Fax:
Practice Address - Street 1:2900 WESTFORK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70827-0010
Practice Address - Country:US
Practice Address - Phone:504-507-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-24
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No332U00000XSuppliersHome Delivered Meals