Organization
REGIONAL PCA SERVICES - SOUTHEAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY FISHER (CFO)
(225) 928-8989
Entity
Organization
Contact information
Practice address
902 C M FAGAN DR, STE A SHAMOCK PLAZA, HAMMOND, LA 70403-6043
(985) 747-1994
(985) 747-1965
Mailing address
902 C M FAGAN DR, STE A SHAMOCK PLAZA, HAMMOND, LA 70403-6043
(985) 747-1994
(985) 747-1965
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15326
LA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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