# NIKKI CHILDREN'S HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ruth's place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457687592
- **Authorized official:** MS. JENNIFER RICHARD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (337) 433-6309

## Contact information

- **Practice address:** 403 7TH ST, LAKE CHARLES, LA 70601-6006
- **Practice address phone:** (337) 433-6309
- **Mailing address:** 1621 7TH ST, LAKE CHARLES, LA 70601-5570
- **Mailing address phone:** (337) 433-6309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | LA | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251T00000X | PACE Provider Organization | — | LA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | LA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | LA | — |

## Other

- **Enumeration date:** 10/25/2009
- **Last updated:** 10/25/2009