Organization
AMIAN HEALTH SERVICES OF LAKE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP PAPILLION (OWNER/ADMINISTRATOR)
(337) 477-7083
Entity
Organization
Contact information
Practice address
710 W PRIEN LAKE RD, SUITE 206, LAKE CHARLES, LA 70601-8349
(337) 477-7083
(337) 478-4414
Mailing address
710 W PRIEN LAKE RD, SUITE 206, LAKE CHARLES, LA 70601-8349
(337) 477-7083
(337) 478-4414
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6986
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014591
—
LA
Enumeration date
12/04/2007
Last updated
12/04/2007
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