Provider Demographics
NPI:1700052958
Name:GERIATRIC RESOURCES, INC
Entity type:Organization
Organization Name:GERIATRIC RESOURCES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:337-526-6774
Mailing Address - Street 1:6464 CORBINA RD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-7674
Mailing Address - Country:US
Mailing Address - Phone:337-562-6774
Mailing Address - Fax:337-375-0021
Practice Address - Street 1:6464 CORBINA RD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-7674
Practice Address - Country:US
Practice Address - Phone:337-562-6774
Practice Address - Fax:337-375-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty