Provider Demographics
NPI:1023280138
Name:PEGGY VALLOT
Entity type:Organization
Organization Name:PEGGY VALLOT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VALLOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-7009
Mailing Address - Street 1:920 W PINHOOK RD STE 235
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2457
Mailing Address - Country:US
Mailing Address - Phone:337-233-7009
Mailing Address - Fax:337-233-7059
Practice Address - Street 1:920 W PINHOOK RD
Practice Address - Street 2:STE 235
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2457
Practice Address - Country:US
Practice Address - Phone:337-233-7009
Practice Address - Fax:337-233-7059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health