Organization
SOUTHSIDE CAREGIVERS,INC.
Active
Other names
NON APPLICABLE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN JAMES RICHARD RECREATIONAL THERAPI (PRESIDENT)
(337) 594-2090
Entity
Organization
Contact information
Practice address
1228 S WASHINGTON ST, SAME, OPELOUSAS, LA 70570-4028
(337) 594-1919
Mailing address
1228 S WASHINGTON ST, SAME, OPELOUSAS, LA 70570-4028
(877) 594-2090
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
10/07/2008
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