| Lagniappe Home And Community Care Llc | |
|
102 Raphael Dr Lafayette LA 70508-5952 | |
| (337) 541-0219 | |
| Not Available |
| Full Name | Lagniappe Home And Community Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 Raphael Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Sharron Bush Smith (CEO) |
| Authorized Official Contact | 3378497431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagniappe Home And Community Care Llc 102 Raphael Dr Lafayette LA 70508-5952 Ph: (337) 541-0219 | Lagniappe Home And Community Care Llc 102 Raphael Dr Lafayette LA 70508-5952 Ph: (337) 541-0219 |
| NPI Number | 1326667320 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326667320 | NPI | - | NPPES |
| 1306843 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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