Provider Demographics
NPI:1982985776
Name:A & L ADULT DAY HEALTH CARE, INC
Entity Type:Organization
Organization Name:A & L ADULT DAY HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:337-519-2392
Mailing Address - Street 1:435 W MAIN ST
Mailing Address - Street 2:B
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3644
Mailing Address - Country:US
Mailing Address - Phone:337-364-5551
Mailing Address - Fax:337-364-1550
Practice Address - Street 1:103 W ADMIRAL DOYLE DR
Practice Address - Street 2:A
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-7201
Practice Address - Country:US
Practice Address - Phone:337-364-7411
Practice Address - Fax:337-364-7842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5077261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care