Organization
PDI OF THE SOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA OAKMAN (BILLING/PAYROLL SUPERVISOR)
(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
—
1455113
—
LA
Enumeration date
03/18/2008
Last updated
03/18/2008
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