Provider Demographics
NPI:1194858852
Name:PRIORITY MEDICAL CARE, INC.
Entity type:Organization
Organization Name:PRIORITY MEDICAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:LA'BORE
Authorized Official - Last Name:FUSILIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-347-1996
Mailing Address - Street 1:508 TEXACO ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-1348
Mailing Address - Country:US
Mailing Address - Phone:337-347-1996
Mailing Address - Fax:337-232-5017
Practice Address - Street 1:508 TEXACO ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-1348
Practice Address - Country:US
Practice Address - Phone:337-347-1996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========Medicare ID - Type UnspecifiedPERSONAL CARE ATTENDANT