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General NPI Number Information
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NPI Number | 1508997313
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Entity Type | Organization
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Legal Business Name | PACER HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 5360 W CREOLE HWY
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City | CAMERON
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State | LA
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Zip | 70631-5127
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Country | US
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Telephone | 337-439-8111
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Fax | 337-439-1970
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Provider Business Mailing Address
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Address Line | 5360 W CREOLE HWY
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City | CAMERON
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State | LA
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Zip | 70631-5127
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Country | US
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Telephone | 337-439-8111
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Fax | 337-439-1970
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Authorized Official
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Title or Position | CEO
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Name | MS. DONNA N MEAD
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Credential |
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Telephone | 337-439-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 534
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 534
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License Number State | LA
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