Organization
CALCASIEU MULTI HANDICAPPED CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH FELLOWS (CEO)
(816) 444-0900
Entity
Organization
Contact information
Practice address
1301 INDUSTRIAL ST, VINTON, LA 70668-4537
(337) 589-3444
(337) 589-5337
Mailing address
1301 INDUSTRIAL ST, VINTON, LA 70668-4537
(337) 589-3444
(337) 589-5337
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
128
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715107
—
LA
Enumeration date
07/26/2005
Last updated
08/22/2020
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