NORMAL LIFE OF LAKE CHARLES INC. NPI 1639349251

NPI Information

NORMAL LIFE OF LAKE CHARLES, INC. is an intermediate care facility mentally retarded in Lake Charles, LA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. NORMAL LIFE OF LAKE CHARLES, INC. NPI is 1639349251. 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 enumeration date for this NPI number is 3/11/2008 and was last updated on 12/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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