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NPI Code Detail

MEDICARE: ST. PAUL COMPANION CARE, L.L.C.

MEDICARE: ST. PAUL COMPANION CARE, L.L.C.
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
1251E00000XHome Health AgencyPCA7221LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689871121
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. PAUL COMPANION CARE, L.L.C.
Provider Business Mailing Address
First Line : 1 LAKESHORE DR STE 1695
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70629-0114
Country : US
Telephone Number : 337-433-1403
Fax Number : 337-433-5311
Provider Business Practice Location Address
First Line : 1 LAKESHORE DR STE 1695
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70629-0114
Country : US
Telephone Number : 337-433-1403
Fax Number : 337-433-5311
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. YUL DUBART LORIO
Credential :
Telephone Number : 337-433-1403
Provider Enumeration Date : 06/28/2007
Last Update Date : 07/21/2008

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Directions to “ST. PAUL COMPANION CARE, L.L.C. ” Practice Location

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