NPI 1598766941

Diversified Health Care-Lake Charles, LLC

Organisation Skilled Nursing Facility Lake Charles, LA

Practice location

Address: 2701 Ernest St, Lake Charles, LA 70601-8406
Phone: (337) 439-0336
Fax: (337) 494-0546

Authorised official

Name: Tammie H Groce
Title: Accounting Manager
Phone: (337) 439-0336

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 799 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1598766941
Entity type: Organization
NPI issued: 9 Aug 2005
Record last updated: 26 Jan 2010

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.