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Organization

NIKKI CHILDREN'S HOME

Active
Other names
ruth's place
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER RICHARD (EXECUTIVE DIRECTOR)
(337) 433-6309
Entity
Organization

Contact information

Practice address
403 7TH ST, LAKE CHARLES, LA 70601-6006
(337) 433-6309
Mailing address
1621 7TH ST, LAKE CHARLES, LA 70601-5570
(337) 433-6309

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LA
251B00000X
Case Management Agency
Primary
251T00000X
PACE Provider Organization
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
LA

Other

Enumeration date
10/25/2009
Last updated
10/25/2009
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