NPI 1053535260

Medical Resources & Guidance

Organisation Case Management Agency Lake Charles, LA

Practice location

Address: 123 Williamsburg St, Lake Charles, LA 70605-5719
Phone: (337) 480-1118
Fax: (337) 480-1139
Mailing address: PO Box 568, Ville Platte, LA 70586-0568

Authorised official

Name: Tammy Fontenot
Title: Administrator
Phone: (337) 363-4999

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence CM 2334 (LA)

Other Case Management providers in Louisiana →

Registry record

NPI: 1053535260
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.