Community Care Services, Inc

Organization Active NPI Attendant Care Provider · Mangham, LA

NPI 1043347206 · NPPES record last updated Oct 18, 2007

Key facts

NPI
1043347206
Entity type
Organization (NPI type 2)
Primary specialty
Attendant Care Provider 3747A0650X
License
9656 (LA)
Legal business name
COMMUNITY CARE SERVICES, INC
Practice address
508 Horace St
Mangham, LA 71259-5056
Phone
(318) 248-2377
Fax
(318) 248-4039
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

Name
Donna Strong
Title
Administrator
Phone
(318) 248-2377

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Community Care Services Inc (6 organizations share this tax ID)

Locations

508 Horace St
Mangham, LA 71259
Phone (318) 248-2377

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X 9656 LA Yes

Addresses

Primary practice location

508 Horace St
Mangham, LA 71259-5056

Mailing address

PO Box 645
Mangham, LA 71259-0645
Phone (318) 248-2377

Other identifiers

IdentifierTypeStateIssuer
1530174MedicaidLA

Other providers in Mangham, LA

All providers in Mangham, LA · Attendant Care Provider in Louisiana

Sources for this page

Verify at the official NPI Registry.