# REGIONAL PCA SERVICES - NORTHEAST, LLC

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

## Provider details

- **NPI number:** 1568793461
- **Authorized official:** MS. NANCY FISHER (MANAGER)
- **Authorized official phone:** (225) 928-8989

## Contact information

- **Practice address:** 101 N 2ND ST, SUITE 114, WEST MONROE, LA 71291-3266
- **Practice address phone:** (318) 654-4150
- **Practice address fax:** (318) 654-4160
- **Mailing address:** 101 N 2ND ST, SUITE 114, WEST MONROE, LA 71291-3266
- **Mailing address phone:** (318) 654-4150
- **Mailing address fax:** (318) 654-4160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 15293 | LA | Yes |

## Other

- **Enumeration date:** 01/18/2010
- **Last updated:** 01/18/2010