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Organization

POWERFUL HEALING WOUND CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLADYS DAVIS (OWNER)
(337) 255-0603
Entity
Organization

Contact information

Practice address
2411 ERNEST ST, LAKE CHARLES, LA 70601-7265
(337) 255-0603
Mailing address
2411 ERNEST ST, LAKE CHARLES, LA 70601-7265
(337) 255-0603

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Enumeration date
04/05/2019
Last updated
04/05/2019
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