Organization

Compassionate Covenant Adult Day Health Care Inc.

May also be knows as Compassionate Care Of Lake Charles

Legal Business Name

Compassionate Covenant Adult Day Health Care Inc.

Also Known As

Compassionate Care Of Lake Charles

NPI Number

1548201437

NPI Type

Organization

Enumeration Date

06/09/2006

Specialties

(Taxonomies)

Code

261QA0600X
171W00000X

Primary Taxonomy

No
No

Licenses

State

Louisiana
Louisiana

License Number

4121
12843

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1441
2120 OAK PARK BLVD

City

Lake Charles
Lake Charles

State

LA
LA

Postal Code

70602-1441
70601-7864

Country

US
US

Telephone Number

(337) 474-2878
(337) 474-2878

Authorized Official

Name

Julie Guidry

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(337) 474-2878

Identifiers

Identifier

1112691
1170721
1624063

Identifier State

LA
LA
LA

Identifier Issuer

Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address