NORMAL LIFE OF LAKE CHARLES, INC. is an intermediate care facility mentally retarded in Lake Charles, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. NORMAL LIFE OF LAKE CHARLES, INC. NPI is 1902972821. The provider is registered as an organization entity type.
The provider's business location address is:
3220 2ND AVE
LAKE CHARLES, LA
ZIP 70601-922
Phone: (337) 478-2299
The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.
The CLIA number assigned to this NPI record is 19D2259818 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/24/2006 and was last updated on 12/29/2010.