Organization
ADVANCED PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE GAIL HARRELL BA - PSYCHOLOGY (PRESIDENT/CEO)
(337) 433-6611
Entity
Organization
Contact information
Practice address
726 RYAN ST, SUITE B, LAKE CHARLES, LA 70601-4243
(337) 433-6611
(337) 721-8080
Mailing address
726 RYAN ST, SUITE B, LAKE CHARLES, LA 70601-4243
(337) 433-6611
(337) 721-8080
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
6873
LA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6895
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581852
—
LA
Enumeration date
08/16/2006
Last updated
09/27/2011
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