PONTCHARTRAIN GUEST HOUSE INC NPI 1821213505

NPI Information

PONTCHARTRAIN GUEST HOUSE, INC is a durable medical equipment medical supplies in Mandeville, LA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PONTCHARTRAIN GUEST HOUSE, INC NPI is 1821213505. The provider is registered as an organization entity type.

The provider's business location address is:

1401 FLORIDA ST.
MANDEVILLE, LA
ZIP 70448
Phone: (985) 626-8581

The provider's authorized official is Lynette R. Goux .
The authorized official title is Owner and has the following contact phone number (985) 626-8581.

The CLIA number assigned to this NPI record is 19D0859594 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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