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Organization

PDI OF THE SOUTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARET MCCLOSKEY (PRESIDENT)
(337) 479-0048
Entity
Organization

Contact information

Practice address
710 W PRIEN LAKE RD, STE 100, LAKE CHARLES, LA 70601-8349
(337) 479-0048
(337) 479-0685
Mailing address
710 W PRIEN LAKE RD, STE 100, LAKE CHARLES, LA 70601-8349
(337) 479-0048
(337) 479-0685

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7131
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1433519
LA
Enumeration date
12/07/2007
Last updated
12/07/2007
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