Organization
REGIONAL HEALTHCARE SERVICES - SOUTHWEST, LLC
Active
Parent organization
REGIONAL HEALTHCARE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGIONAL HEALTHCARE SERVICES, LLC
Authorized official
BENJAMIN COOPER (MANAGER)
(318) 446-0231
Entity
Organization
Contact information
Practice address
710 W PRIEN LAKE RD STE 206, LAKE CHARLES, LA 70601-8351
(318) 446-0231
Mailing address
PO BOX 13566, ALEXANDRIA, LA 71315-3566
(318) 446-0231
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1014591
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6986
—
LA
Enumeration date
04/30/2015
Last updated
04/30/2015
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