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Agencies In Home Supportive Care

Provider NPI: 1225280928

Organization Information:
Organization Name:  GUILLORYS SHOP
Organization is not Subpart
Authorized Official:  ELLIS  GUILLORYS  CEO  337-207-5393

Practice Location:
Tel: 337-207-5393  Fax: --

Business Mailing Address:
Tel: 337-207-5393  Fax: --

NPI Information:
NPI: 1225280928
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
In Home Supportive Care
N302R00000XManaged Care Organizations
Health Maintenance Organization
Y261QA0600XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QA0600X





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