Organization
CRIMSON OAK PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY JONES (OWNER)
(337) 478-0497
Entity
Organization
Contact information
Practice address
3519 PATRICK ST, SUITE151, LAKE CHARLES, LA 70605-1748
(337) 478-0497
(337) 478-0498
Mailing address
419 HIGHWAY 384, LAKE CHARLES, LA 70607-8931
(337) 478-0497
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203781054
LA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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