Basic Information
| Provider Information | |||||||||
| NPI: | 1326394727 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LAGNIAPPE HOMECARE ALEXANDRIA LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | LAGNIAPPE HOMECARE ALEXANDRIA | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9258 HIGHWAY 84 | ||||||||
| Address2: | |||||||||
| City: | WINNFIELD | ||||||||
| State: | LA | ||||||||
| PostalCode: | 714837560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3186284116 | ||||||||
| FaxNumber: | 3186281141 | ||||||||
| Practice Location | |||||||||
| Address1: | 9258 HIGHWAY 84 | ||||||||
| Address2: | |||||||||
| City: | WINNFIELD | ||||||||
| State: | LA | ||||||||
| PostalCode: | 714837560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3186284116 | ||||||||
| FaxNumber: | 3186281141 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2012 | ||||||||
| LastUpdateDate: | 05/22/2013 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | PRICE | ||||||||
| AuthorizedOfficialFirstName: | TEDDY | ||||||||
| AuthorizedOfficialMiddleName: | RAY | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 3186284116 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.