Organization
ADVANCED PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE G HARRELL BACHELOR PSYCHOLOGY (PRESIDENT)
(337) 478-6737
Entity
Organization
Contact information
Practice address
2827 4TH AVE, SUITE 100, LAKE CHARLES, LA 70601-7888
(337) 478-6737
Mailing address
2827 4TH AVE, SUITE 100, LAKE CHARLES, LA 70601-7888
(337) 478-6737
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6873
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714836
—
LA
Enumeration date
03/28/2007
Last updated
08/22/2020
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