Organization
MCCORKLE SUNRISE PCA/SIL,LLC
Active
Organization
MCCORKLE SUNRISE PCA/SIL,LLC
Active
Other names
McCorkle Sunrise,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN MCCORKLE (GENERAL MANAGER /OWNER)
(225) 935-2208
Entity
Organization
Contact information
Practice address
7262 POINSETTIA DR, BATON ROUGE, LA 70812-1861
(225) 288-6931
(225) 935-2209
Mailing address
2036 WOODDALE BLVD, SUITE M, BATON ROUGE, LA 70806-1518
(225) 935-2208
(225) 935-2209
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126420
—
LA
Enumeration date
09/29/2008
Last updated
09/29/2008
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