# CRIMSON OAK PERSONAL CARE LLC

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

## Provider details

- **NPI number:** 1710246095
- **Authorized official:** MR. JERRY JONES (OWNER)
- **Authorized official phone:** (337) 478-0497

## Contact information

- **Practice address:** 3519 PATRICK ST, SUITE151, LAKE CHARLES, LA 70605-1748
- **Practice address phone:** (337) 478-0497
- **Practice address fax:** (337) 478-0498
- **Mailing address:** 419 HIGHWAY 384, LAKE CHARLES, LA 70607-8931
- **Mailing address phone:** (337) 478-0497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2203781054 | LA | Yes |

## Other

- **Enumeration date:** 05/08/2012
- **Last updated:** 05/08/2012