Organization
PDI OF THE SOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET DESTOUT (PRESIDENT)
(337) 479-0048
Entity
Organization
Contact information
Practice address
727 RYAN ST, LAKE CHARLES, LA 70601-4242
(337) 479-0048
(337) 479-0685
Mailing address
727 RYAN ST, LAKE CHARLES, LA 70601-4242
(337) 479-0048
(337) 479-0685
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2203781957
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2382845
—
LA
Enumeration date
03/20/2015
Last updated
03/20/2015
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