Angel Manor- Breaux Bridge

LBN: Angel Manor- Breaux Bridge
Angel Manor- Breaux Bridge is an health care organization with primary practice located at 329 W Bridge St , Breaux Bridge LA 70517-5040. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Angel Manor- Breaux Bridge can be contacted via phone (337) 332-3421, or through Ford, John Samuel via phone (337) 332-3421.

Contact Information

Primary practice address
329 W Bridge St Breaux Bridge LA 70517-5040
Phone: (337) 332-3421
Fax: (337) 332-3461
Website:
Map and Directions
Authorized official contact:
Name: Ford, John Samuel
Phone: (337) 332-3421

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 251C00000X Louisiana

Profile Details

NPI number 1942330642
LBN Legal business name Angel Manor- Breaux Bridge
DBA Doing business as
Authorized official Ford, John Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942330642 NPPES
Louisiana MEDICAID 1318744

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