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Cd Ross Health Systems LLC

Community/Behavioral Health in Lake Charles, LA. Organization (NPI-2).

NPI number1710267406
StatusActive
Last updated in NPPESAug 25, 2011

Details

NPI
1710267406
Entity type
Organization (NPI-2)
Legal business name
Cd Ross Health Systems LLC
Organization subpart
No
Enumeration date
Aug 25, 2011
Last updated
Aug 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–LAYes
251G00000X Hospice Care, Community Based–LA

Practice location

315 N Goos Blvd
Lake Charles, LA 70601-2541

Phone 337-214-2030

Mailing address

315 N Goos Blvd
Lake Charles, LA 70601-2541

Phone 337-214-2030

Authorized official

Carlos D Ross
Owner
3372142030

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