Organization
ST PAUL COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUL DUBART LORIO (MANAGING MEMBER)
(337) 433-0100
Entity
Organization
Contact information
Practice address
1 LAKESHORE DR STE 1695, LAKE CHARLES, LA 70629-0124
(337) 433-0100
(337) 433-1940
Mailing address
1 LAKESHORE DR STE 1695, LAKE CHARLES, LA 70629-0124
(337) 433-0100
(337) 433-1940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA7221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013145
—
LA
Enumeration date
08/05/2008
Last updated
08/05/2008
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