Organization Name: | CALCASIEU ASSOCAITON FOR RETARDED CITIZENS |
NPI Number: | 1760795116 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD STROUD (EXECUTIVE DIRECTOR) |
Mailing Address: | 4100 Sen J Bennett Johnston Ave Lake Charles |
State: | LA US |
Postal Code: | 706155166 |
Phone Number: | 3374333620 |
Fax Number: | 3374391886 |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 001-2010 |
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 |