Organization
ADVANCED PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE HARRELL (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
Primary
15343
LA
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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