Organization
CHILDRENS SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA L MOUTON (MEMBER)
(337) 526-0556
Entity
Organization
Contact information
Practice address
1299 TOPSY RD, LAKE CHARLES, LA 70611-5807
(337) 855-3921
Mailing address
1299 TOPSY RD, LAKE CHARLES, LA 70611-5807
(337) 855-3921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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