Provider Demographics
NPI:1932248812
Name:CALCASIEU PARISH VOLUNTARY COUNCIL ON AGING, INC.
Entity type:Organization
Organization Name:CALCASIEU PARISH VOLUNTARY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-474-2583
Mailing Address - Street 1:3950 GERSTNER MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-3852
Mailing Address - Country:US
Mailing Address - Phone:337-474-2583
Mailing Address - Fax:337-474-6563
Practice Address - Street 1:3950 GERSTNER MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-3852
Practice Address - Country:US
Practice Address - Phone:337-474-2583
Practice Address - Fax:337-474-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA10574Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER