Bayou Home Bureau

NPI #1134304330 in Bastrop, Louisiana

Provider Information

NPI Number: 1134304330
Entity Type: Organization
Organization Name: Bayou Home Bureau
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jan 7, 2008
Last Updated: Jan 7, 2008

Practice Location

Address: 8057 WILLIARD RD
City: Bastrop
State: Louisiana
ZIP Code: 71220-8939
Phone: (318) 556-0043

Authorized Official

Name: MRS. JUANETTA MARTIN, LPN
Title: OWNER
Phone: (318) 556-0043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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