| Organization Name: | ST. CHARLES COMMUNITY HEALTH CENTER, INC. |
| NPI Number: | 1013196765 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES COMEAUX (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 425 Spruce St Norco |
| State: | LA US |
| Postal Code: | 700792137 |
| Phone Number: | 9857649084 |
| Fax Number: | 9857648464 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 10/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |