| Lake Charles Senior Care Clinic Llc | |
|
1909 Southwood Dr Lake Charles LA 70605-4132 | |
| (337) 532-5799 | |
| Not Available |
| Full Name | Lake Charles Senior Care Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1909 Southwood Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Jenny Bono (MANAGER) |
| Authorized Official Contact | 3375325799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Charles Senior Care Clinic Llc 1909 Southwood Dr Lake Charles LA 70605-4132 Ph: () - | Lake Charles Senior Care Clinic Llc 1909 Southwood Dr Lake Charles LA 70605-4132 Ph: (337) 532-5799 |
| NPI Number | 1821706805 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821706805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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