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Contact Information

REGIONAL HEALTHCARE-LAKE CHARLES, LLC
122 ARLINGTON DR
LAKE CHARLES, LA70605
 Phone: 337-477-7083
 Fax: 337-478-4414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for REGIONAL HEALTHCARE-LAKE CHARLES, LLC

NPI Number 1881058766
LBN Legal business name REGIONAL HEALTHCARE-LAKE CHARLES, LLC
Authorized official ROBERT JETER - (MEMBER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2016
Last updated 08/10/2018 - About 8 years ago
Identifiers
LA Medicaid 1009075
LA Medicaid 1014591
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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