Healthcare Provider Details

I. General information

NPI: 1366487043
Provider Name (Legal Business Name): OCEANS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W BROAD ST SUITE NUMBER 700
LAKE CHARLES LA
70601-4291
US

IV. Provider business mailing address

127 W BROAD ST SUITE NUMBER 700
LAKE CHARLES LA
70601-4291
US

V. Phone/Fax

Practice location:
  • Phone: 337-721-1900
  • Fax: 337-721-1976
Mailing address:
  • Phone: 337-721-1900
  • Fax: 337-721-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON REED REED
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 337-721-1900