Organization
HYTEK HOME HEALTH AGENCY INC.
Active
Other names
Pediatric Home Care 2000, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN M MILLER BS (ADMINISTRATOR)
(337) 562-1140
Entity
Organization
Contact information
Practice address
1909 OAK PARK BLVD, SUITE A, LAKE CHARLES, LA 70601-8915
(337) 562-1140
(337) 562-1142
Mailing address
1835 OAK PARK BLVD, SUITE 100, LAKE CHARLES, LA 70601-8992
(337) 562-1140
(337) 562-1142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1402516
—
LA
01
—
742544498
TAX ID NO.
LA
Enumeration date
08/08/2006
Last updated
11/07/2014
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