Provider Demographics
NPI:1053049452
Name:ADMIRABLE AIDES LLC
Entity type:Organization
Organization Name:ADMIRABLE AIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-888-0845
Mailing Address - Street 1:1318 QUINCY DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-8221
Mailing Address - Country:US
Mailing Address - Phone:870-888-0845
Mailing Address - Fax:870-464-2212
Practice Address - Street 1:1327 N WASHINGTON
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-2067
Practice Address - Country:US
Practice Address - Phone:870-888-0845
Practice Address - Fax:870-464-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care