Organization
REGIONAL PCA SERVICES-NORTHEAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LANPHIER (OWNER)
(225) 928-8989
Entity
Organization
Contact information
Practice address
1205 NORTH 18TH STREET, SUITE 207, MONROE, LA 71201
(318) 323-0471
(318) 323-4783
Mailing address
8352 BLUEBONNET BLVD, BATON ROUGE, LA 70810
(225) 928-8989
(225) 928-8990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10481
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1596582
—
LA
Enumeration date
04/19/2007
Last updated
07/13/2012
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