| I.m.p.a.c By Alternative Home Care Specialists, Inc. | |
|
1531 Ambassador Caffery Pkwy Lafayette LA 70506-1825 | |
| (337) 233-0545 | |
| (337) 233-2490 |
| Full Name | I.m.p.a.c By Alternative Home Care Specialists, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1531 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Carl Kephart (CEO) |
| Authorized Official Contact | 3372330545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I.m.p.a.c By Alternative Home Care Specialists, Inc. 1220 Eraste Landry Rd Lafayette LA 70506-3046 Ph: (337) 233-0545 | I.m.p.a.c By Alternative Home Care Specialists, Inc. 1531 Ambassador Caffery Pkwy Lafayette LA 70506-1825 Ph: (337) 233-0545 |
| NPI Number | 1487944161 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487944161 | NPI | - | NPPES |
| 2131648 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 102210 (Louisiana) | Primary |
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