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CALCASIEU ASSOCIATION FOR RETARDED CITIZENS

Intermediate Care Facility, Mentally Retarded

Lake Charles, Louisiana

Provider NPI: 1447312335

Organization Information:
Organization Name:  CALCASIEU ASSOCIATION FOR RETARDED CITIZENS


Practice Location:
623 W SALE RD  LAKE CHARLES, LA 70605 US
Tel: 337-433-3620  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
LA276

Other Provider Identifiers:

IssuerNumberStateType
1715476LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS LA - Page 1



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