Organization
COMMCARE CORPORATION
Active
Other names
Calcasieu Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARVEY PSARELLIS (SECRETARY)
(504) 324-8950
Entity
Organization
Contact information
Practice address
4190 GERSTNER MEMORIAL BLVD, LAKE CHARLES, LA 70607
(337) 240-9730
(337) 240-9731
Mailing address
4190 GERSTNER MEMORIAL BLVD, LAKE CHARLES, LA 70607-3804
(337) 439-5761
(337) 433-4778
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512303
—
LA
Enumeration date
01/02/2008
Last updated
04/12/2023
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