Organization Name: | DIRECT CARE INC |
NPI Number: | 1952703217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRYSTAL MCGUIRE (EXECUTIVE DIRECTOR) |
Mailing Address: | 3006 Common St Lake Charles |
State: | LA US |
Postal Code: | 706018537 |
Phone Number: | 3374365001 |
Fax Number: | 3374365002 |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 15394 |
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 |