Organization
LAKE CHARLES HEALTHCARE LLC
Active
Other names
Landmark of Lake Charles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONI H PARKINSON (MANAGING MEMBER)
(601) 709-1408
Entity
Organization
Contact information
Practice address
2335 OAK PARK BLVD, LAKE CHARLES, LA 70601-7970
(337) 478-2920
(337) 479-1512
Mailing address
2335 OAK PARK BLVD, LAKE CHARLES, LA 70601-7970
(337) 478-2920
(337) 479-1512
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
975
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385H00000X
RESPITE CARE
LA
Enumeration date
08/14/2009
Last updated
01/19/2016
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