Amian Health Services of Lake Charles

Organization Active NPI Developmentally Disabled Services Day Training Agency · Lake Charles, LA

NPI 1295917037 · NPPES record last updated Dec 4, 2007

Key facts

NPI
1295917037
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
6986 (LA)
Legal business name
AMIAN HEALTH SERVICES OF LAKE CHARLES
Practice address
710 W Prien Lake Rd
Suite 206
Lake Charles, LA 70601-8349
Phone
(337) 477-7083
Fax
(337) 478-4414
NPI assigned
Dec 4, 2007
Organization subpart
No

Authorized official

Name
Mr. Phillip Papillion
Title
Owner/Administrator
Phone
(337) 477-7083

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Amian Health Services of Lake Charles (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6986 LA Yes

Addresses

Primary practice location

710 W Prien Lake Rd
Suite 206
Lake Charles, LA 70601-8349

Mailing address

710 W Prien Lake Rd
Suite 206
Lake Charles, LA 70601-8349
Phone (337) 477-7083

Other identifiers

IdentifierTypeStateIssuer
1014591MedicaidLA

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Developmentally Disabled Services Day Training Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.