MEDICARE: CALCASIEU PARISH VOLUNTARY COUNCIL ON AGING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency		LA

General Provider Information

NPI Number	:	1932248812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALCASIEU PARISH VOLUNTARY COUNCIL ON AGING, INC.

Provider Business Mailing Address
First Line	:	3950 GERSTNER MEMORIAL BLVD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-3852
Country	:	US
Telephone Number	:	337-474-2583
Fax Number	:	337-474-6563

Provider Business Practice Location Address
First Line	:	3950 GERSTNER MEMORIAL BLVD
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70607-3852
Country	:	US
Telephone Number	:	337-474-2583
Fax Number	:	337-474-6563

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	MRS. DEBBIE L. DUHON
Credential	:
Telephone Number	:	337-474-2583

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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