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GOOD SHEPHERD HOME HEALTH

Custodial Care Facility

Lake Charles, Louisiana

Provider NPI: 1487830568

Organization Information:
Organization Name:  GOOD SHEPHERD HOME HEALTH


Practice Location:
2013 OAK PARK BLVD STE 101  LAKE CHARLES, LA 70601 US
Tel: 337-430-0245  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
LAPCA 11776

Other Provider Identifiers:

IssuerNumberStateType
1462705LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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