Organization
MCCORKLE SUNRISE PCA/SIL,LLC
Active
Organization
MCCORKLE SUNRISE PCA/SIL,LLC
Active
Other names
McCorkle Sunrise,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN MCCORKLE (GENERAL MANAGER)
(225) 288-6931
Entity
Organization
Contact information
Practice address
7262 POINSETTIA DRIVE, BATON ROUGE, LA 70812
(225) 935-2208
(225) 935-2209
Mailing address
7185 SCOBELL COURT, SUITE C, BATON ROUGE, LA 70806-1502
(225) 935-2208
(225) 935-2209
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
PCA 15063
LA
372600000X
Adult Companion
SIL 20075
LA
3747A0650X
Attendant Care Provider
Primary
PCA 15063
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24
—
LA
Enumeration date
06/30/2008
Last updated
09/29/2008
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