Organization · Type 2 NPI
Wonderful Care Services LLC
Adult Care Home Facility · Bastrop, LA
NPI number
1679846612
Active
Practice location
610 Randall St
Bastrop, LA 71220-4322
Mailing address
PO Box 923
Bastrop, LA 71221-0923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1679846612
Wonderful Care Services LLC's National Provider Identifier is 1679846612, issued on Feb 22, 2012. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bastrop, LA. The record was last updated on Feb 22, 2012.