CAMELLIA HOSPICE OF LOUISIANA LLC NPI 1639182298

NPI Information

CAMELLIA HOSPICE OF LOUISIANA, LLC is a hospice care community based in Covington, LA. CAMELLIA HOSPICE OF LOUISIANA, LLC NPI is 1639182298. The provider is registered as an organization entity type.
The provider Is Doing Business As Enhabit Hospice Of The Northshore.

The provider's business location address is:

112 INNWOOD DR STE D
COVINGTON, LA
ZIP 70433-134
Phone: (985) 732-1762
Fax: (985) 732-1944

The provider's authorized official is Crissy Buchanan Carlisle .
The authorized official title is Chief Financial Officer and has the following contact phone number (214) 239-6500.

The CLIA number assigned to this NPI record is 19D1053969 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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