Provider Demographics
NPI:1215343959
Name:REGIONAL HOME CARE SOUTH,LLC
Entity type:Organization
Organization Name:REGIONAL HOME CARE SOUTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-308-1237
Mailing Address - Street 1:50 WADE ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-2051
Mailing Address - Country:US
Mailing Address - Phone:985-308-1237
Mailing Address - Fax:985-308-1338
Practice Address - Street 1:50 WADE STREET
Practice Address - Street 2:STE 3
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070
Practice Address - Country:US
Practice Address - Phone:985-308-1237
Practice Address - Fax:985-308-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health