Organization Name: | REGIONAL PCA SERVICES - SOUTHEAST, LLC |
NPI Number: | 1861714826 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY FISHER (CFO) |
Mailing Address: | 902 C M Fagan Dr Ste A Shamock Plaza Hammond |
State: | LA US |
Postal Code: | 704036043 |
Phone Number: | 9857471994 |
Fax Number: | 9857471965 |
NPI Enumeration Date: | 02/18/2010 |
NPI Last Update Date: | 02/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 15326 |
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 |