Organization
ST. CHARLES COMMUNITY HEALTH CENTER, INC.
Active
Other names
Norco Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KEISER (CHIEF EXECUTIVE OFFICER)
(504) 575-3700
Entity
Organization
Contact information
Practice address
425 SPRUCE ST, NORCO, LA 70079-2137
(985) 764-9084
(985) 764-8464
Mailing address
425 SPRUCE ST, NORCO, LA 70079-2137
(985) 764-9084
(985) 764-8464
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444642
—
LA
Enumeration date
10/30/2007
Last updated
11/08/2021
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