Organization
SERENITY SQUARE OF LAKE CHARLES CORP.
Active
Other names
Ageless Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CAILIER (MANAGER)
(337) 254-1026
Entity
Organization
Contact information
Practice address
403 W 18TH ST, LAKE CHARLES, LA 70601-8460
(337) 240-8555
(337) 240-8558
Mailing address
1353 SURREY ST, LAFAYETTE, LA 70501-7617
(337) 254-1026
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
07/14/2022
Last updated
06/03/2025
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