Provider Demographics
NPI: | 1841458361 |
---|---|
Name: | SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES |
Entity type: | Organization |
Organization Name: | SYLVIA'S CARING COMPANIONS HEALTH CARE SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DARLENE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ST. ROMAIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 337-942-9939 |
Mailing Address - Street 1: | PO BOX 301 |
Mailing Address - Street 2: | |
Mailing Address - City: | BUNKIE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 71322-0301 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 318-346-2540 |
Mailing Address - Fax: | 318-346-2546 |
Practice Address - Street 1: | 113 S COURT ST |
Practice Address - Street 2: | |
Practice Address - City: | OPELOUSAS |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70570-5125 |
Practice Address - Country: | US |
Practice Address - Phone: | 337-942-9939 |
Practice Address - Fax: | 334-942-9937 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-05-30 |
Last Update Date: | 2008-05-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
LA | 15040 | 251K00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251K00000X | Agencies | Public Health or Welfare |