Organization
COMMUNITY PERSONAL CARE SERVICE LLC
Active
Other names
Community Personal Care Service
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L DUGAS (ADMINISTRATOR)
(337) 806-9190
Entity
Organization
Contact information
Practice address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 806-9190
(337) 806-9185
Mailing address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 806-9190
(337) 806-9185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 8677
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1166065
—
LA
05
—
1432032
—
LA
05
—
1460516
—
LA
05
—
1507091
—
LA
Enumeration date
06/23/2015
Last updated
06/23/2015
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