# OPH-REGION 5-NURSE FAMILY PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164584017
- **Authorized official:** DEBRA WOODS BSN, RN (NFP SUPERVISOR-PHN-5)
- **Authorized official phone:** (337) 475-3217

## Contact information

- **Practice address:** 707A E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8613
- **Practice address phone:** (337) 475-3217
- **Practice address fax:** (337) 475-3222
- **Mailing address:** 707A E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8613
- **Mailing address phone:** (337) 475-3217
- **Mailing address fax:** (337) 475-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CM 9915 | LA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1567132 | — | LA |