OrganizationActive
Authentic Community Living, Inc.
NPI 1689843435 · Personal Care Attendant · Terrytown, LA
Provider details
- NPI number
- 1689843435
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Valerie Dibia, Executive Director(504) 368-4535
- License
- 9641 (LA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1799 Stumpf Blvd
Bldg.7 Suite 1
Terrytown, LA 70056-3950
Phone: (504) 368-4535
Fax: (504) 368-4560
Approximate (ZIP-level) locationGet directions
Mailing address
1799 Stumpf Blvd
Terrytown, LA 70056-3950
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.