Provider Demographics
NPI:1578387718
Name:A-1 CAR3 AGENCY
Entity type:Organization
Organization Name:A-1 CAR3 AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-241-1949
Mailing Address - Street 1:61558 FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-8654
Mailing Address - Country:US
Mailing Address - Phone:985-241-1949
Mailing Address - Fax:985-241-5004
Practice Address - Street 1:61558 FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-8654
Practice Address - Country:US
Practice Address - Phone:985-241-1949
Practice Address - Fax:985-241-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care