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La Bodega Inc
Home Health Agency in Ponchatoula, Louisiana
NPI 1891870929

La Bodega Inc is a Home Health Agency based in Covington, LA. La Bodega Inc practices in Ponchatoula, LA. The NPI Number for La Bodega Inc is 1891870929 and holds a License No. 922 (Louisiana).

The current practice location address for La Bodega Inc is 1579 Highway 51, Ponchatoula, LA and can be reached out via phone at 985-635-6900 and via fax at 985-635-6936. You can also correspond with La Bodega Inc through the mailing address at 327 W 21ST AVE, COVINGTON, LA - 70433-3153 (mailing address contact number: 985-635-6900).

Location: 1579 Highway 51, Ponchatoula, LA, 70433-3153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891870929
Provider Name
La Bodega Inc
Credential
Provider Entity Type
Organization
Address
1579 Highway 51, Ponchatoula, LA, 70433-3153
Phone Number
985-635-6900
Fax Number
985-635-6936
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1401439 05 LA
institution
Provider Business Practice Location Address Details
Address
1579 Highway 51
City
Ponchatoula
State
Louisiana
Zip
70454-6374
Phone Number
985-635-6900
Fax Number
985-635-6936
person
Provider Business Mailing Address Details
Address
327 W 21St Ave
City
Covington
State
Louisiana
Zip
70433-3153
Phone Number
985-635-6900
Fax Number
985-635-6936
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
922 (Louisiana)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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