Organization
DISASTER CHARITIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETCH SHAHEEN MD (EXECUTIVE DIRECTOR)
(757) 310-3809
Entity
Organization
Contact information
Practice address
5855 E BROOKE FLOWER CIR STE A, LAKE CHARLES, LA 70605-0299
(757) 310-3809
Mailing address
PO BOX 4238, LAKE CHARLES, LA 70606-4238
(757) 310-3809
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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