Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareNORMAL LIFE OF LAKE CHARLES, INC.
Intermediate Care Facility, Mentally Retarded
Lake Charles, Louisiana
Provider NPI: 1902972821
Organization Information:Organization Name: NORMAL LIFE OF LAKE CHARLES, INC.
Practice Location:
3220 2ND AVE LAKE CHARLES, LA 70601 US
Tel: 337-478-2299 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:
3220 2ND AVE LAKE CHARLES, LA 70601 US
Tel: 337-478-2299 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 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1719455 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
