Organization
ST. PAUL COMPANION CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUL DUBART LORIO (MANAGING MEMBER)
(337) 433-1403
Entity
Organization
Contact information
Practice address
1 LAKESHORE DR STE 1695, LAKE CHARLES, LA 70629-0114
(337) 433-1403
(337) 433-5311
Mailing address
1 LAKESHORE DR STE 1695, LAKE CHARLES, LA 70629-0114
(337) 433-1403
(337) 433-5311
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA7221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013153
—
LA
Enumeration date
06/28/2007
Last updated
07/21/2008
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