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Organization
SERENITY SQUARE OF LAKE CHARLES CORP.
Active
Organization
SERENITY SQUARE OF LAKE CHARLES CORP.
Active
Other names
Ageless Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CAILIER (MANAGER)
(337) 704-7777
Entity
Organization
Contact information
Practice address
403 W 18TH ST, LAKE CHARLES, LA 70601-8460
(337) 240-8555
(337) 240-8558
Mailing address
1353 SURREY ST, LAFAYETTE, LA 70501-7617
(337) 345-4444
(337) 266-5893
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
305S00000X
Point of Service
—
NULL
Other
Enumeration date
07/14/2022
Last updated
08/05/2026
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