Angel Manor- Breaux Bridge
NPI #1942330642 in Breaux Bridge, Louisiana
Provider Information
- NPI Number
- 1942330642
- Entity Type
- Organization
- Organization Name
- Angel Manor- Breaux Bridge
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 329 W BRIDGE ST
- City
- Breaux Bridge
- State
- Louisiana
- ZIP Code
- 70517-5040
- Phone
- (337) 332-3421
Authorized Official
- Name
- MR. JOHN SAMUEL FORD JR.
- Title
- ADMINISTRATOR
- Phone
- (337) 332-3421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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