# REGIONAL PCA SERVICES - SOUTHEAST, LLC

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

## Provider details

- **NPI number:** 1811228729
- **Authorized official:** MS. NANCY FISHER (MANAGER)
- **Authorized official phone:** (225) 928-8989

## Contact information

- **Practice address:** 902 C M FAGAN DR, SUITE A SHAMOCK PLAZA, HAMMOND, LA 70403-6043
- **Practice address phone:** (985) 747-1994
- **Practice address fax:** (985) 747-1965
- **Mailing address:** 902 C M FAGAN DR, SUITE A SHAMOCK PLAZA, HAMMOND, LA 70403-6043
- **Mailing address phone:** (985) 747-1994
- **Mailing address fax:** (985) 747-1965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 15326 | LA | Yes |

## Other

- **Enumeration date:** 01/18/2010
- **Last updated:** 02/18/2010