CALCASIEU MULTI-HANDICAPPED CENTER, LLC
Intermediate Care Facility, Mentally Retarded
Vinton, Louisiana
Provider NPI: 1780676890
Organization Information:Organization Name: CALCASIEU MULTI-HANDICAPPED CENTER, LLC
Practice Location:
1101 NONA ST VINTON, LA 70668 US
Tel: 337-589-6292 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1101 NONA ST VINTON, LA 70668 US
Tel: 337-589-6292 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | LA | 746 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1713031 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin