NPI: 1609038850
Provider Name: MCCORKLE SUNRISE PCA/SIL,LLC
Former Legal Business Name: MCCORKLE SUNRISE,LLC
Classification: Technician - 3747A0650X
Entity Type: Organization
Specialization: Attendant Care Provider
Address:
7262 POINSETTIA DRIVE
BATON ROUGE, LA
ZIP 70812
Phone: (225) 935-2208
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MCCORKLE SUNRISE PCA/SIL,LLC is an attendant care provider technician in Baton Rouge, LA. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. MCCORKLE SUNRISE PCA/SIL,LLC NPI is 1609038850. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mccorkle Sunrise,llc.
The provider's business location address is:
7262 POINSETTIA DRIVE
BATON ROUGE, LA
ZIP 70812
Phone: (225) 935-2208
Fax: (225) 935-2209
The provider's authorized official is Patricia Ann Mccorkle .
The authorized official title is General Manager and has the following contact phone number (225) 288-6931.
The enumeration date for this NPI number is 6/30/2008 and was last updated on 9/29/2008.