Organization
REGIONAL HEALTHCARE-LAKE CHARLES, LLC
Active
Other names
At Home Compassionate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. JETER (MANAGER/MEMBER)
(972) 567-7419
Entity
Organization
Contact information
Practice address
122 ARLINGTON DR, LAKE CHARLES, LA 70605-5702
(337) 477-7083
(337) 478-4414
Mailing address
122 ARLINGTON DRIVE, LAKE CHARLES, LA 70605-8351
(337) 477-7083
(337) 417-1822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
6986
LA
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009075
—
LA
05
—
1014591
—
LA
Enumeration date
09/25/2015
Last updated
07/21/2022
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