| Organization Name: | REGIONAL PCA SERVICES - NORTHEAST, LLC |
| NPI Number: | 1568793461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY FISHER (MANAGER) |
| Mailing Address: | 101 N 2nd St Suite 114 West Monroe |
| State: | LA US |
| Postal Code: | 712913266 |
| Phone Number: | 3186544150 |
| Fax Number: | 3186544160 |
| NPI Enumeration Date: | 01/18/2010 |
| NPI Last Update Date: | 01/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 15293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |