Provider Demographics
NPI:1821417841
Name:ANYTIME PERSONAL CARE LLC
Entity type:Organization
Organization Name:ANYTIME PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-788-7985
Mailing Address - Street 1:1120 W HUTCHINSON AVE
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-4124
Mailing Address - Country:US
Mailing Address - Phone:337-788-7984
Mailing Address - Fax:337-788-7986
Practice Address - Street 1:1120 W HUTCHINSON AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-4124
Practice Address - Country:US
Practice Address - Phone:337-788-7984
Practice Address - Fax:337-788-7986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health