Organization · Type 2 NPI
Wisdom Healthcare Service LLC
Health Service Clinic/Center · Lafayette, LA
NPI number
1114687563
Active
Practice location
109 Boulet Dr
Lafayette, LA 70506-2212
Fax (337) 735-1887
Mailing address
5520 Johnson Ste K Pmb 1121
Lafayette, LA 70503-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1114687563
Wisdom Healthcare Service LLC's National Provider Identifier is 1114687563, issued on Dec 27, 2021. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Lafayette, LA. The record was last updated on Apr 5, 2024.