Organization
SOUTHSIDE CAREGIVERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN JAMES RICHARD RECREATIONAL THER (PRESIDENT/CEO)
(337) 308-1000
Entity
Organization
Contact information
Practice address
1228 S WASHINGTON ST, OPELOUSAS, LA 70570-4028
(337) 594-2090
(337) 942-8571
Mailing address
1228 S WASHINGTON ST, OPELOUSAS, LA 70570-4028
(337) 594-2090
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
PCA15152
LA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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