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Organization

DIRECT CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YISHMENE MELINA MC GEE (EXECUTIVE DIRECTOR)
(337) 436-5001
Entity
Organization

Contact information

Practice address
625 RYAN ST, SUITE 20, LAKE CHARLES, LA 70601-4240
(337) 436-5001
(337) 436-5002
Mailing address
625 RYAN STREET, SUITE 20, LAKE CHARLES, LA 70601
(337) 436-5001
(337) 436-5002

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PCA12236
LA

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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