Organization
RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC
Active
Other names
Calcasieu Oaks Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHOEMAKER (CEO)
(662) 321-1155
Entity
Organization
Contact information
Practice address
2837 ERNEST ST, LAKE CHARLES, LA 70601-8408
(337) 439-8111
(337) 439-1970
Mailing address
2837 ERNEST ST, LAKE CHARLES, LA 70601-8408
(337) 439-8111
(337) 439-1970
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
534-A
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705560
—
LA
Enumeration date
12/19/2008
Last updated
12/19/2008
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