Good Shepherd Home Health

NPI 1013927532 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1013927532
Enumeration Date 08/08/2006
Last Updated 01/03/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DANIELLE DANIELLE
Position ADMINISTRATOR
Phone (337) 430-0245
Fax (337) 430-0245
Practice Location
2013 OAK PARK BLVD
SUITE 101
LAKE CHARLES LA, 70601-7833, US
Phone (337) 430-0245
Fax (337) 430-0245
Business Location
1901 OAK PARK BLVD
LAKE CHARLES LA, 70601-8915, US
Phone (337) 562-1140
Fax (337) 562-1142
Toxanomy
Taxonomy Code 311Z00000X
License State Louisiana
License Number PCA 11776
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According to our database, Good Shepherd Home Health NPI is 1013927532, taxonomy code is 311Z00000X and license number is PCA 11776, license state is located at Louisiana. Good Shepherd Home Health physically located at 2013 Oak Park Blvd, Lake Charles LA, 70601-7833. NPI Number 1033115704 has the healthcare provider type.

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1013927532 NPI number is provided on an as is basis without warranty of any kind. 1013927532 is maintained by the National Plan & Provider Enumeration System. The contents of Good Shepherd Home Health are for informational purposes only.