OrganizationActive
Authentic Community Living, Inc.
NPI 1578620209 · Personal Care Attendant · Terrytown, LA
Provider details
- NPI number
- 1578620209
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Valerie Dibia, Executive Director(504) 368-4535
- License
- 1567337 (LA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1799 Stumpf Blvd
Building 7 Suite 1
Terrytown, LA 70056-3950
Phone: (504) 347-8301
Fax: (504) 368-4560
Approximate (ZIP-level) locationGet directions
Mailing address
1799 Stumpf Blvd
Terrytown, LA 70056-3950
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.