Provider Demographics
NPI:1730364704
Name:DIRECT CARE, INC
Entity type:Organization
Organization Name:DIRECT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YISHMENE
Authorized Official - Middle Name:MELINA
Authorized Official - Last Name:MC GEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-436-5001
Mailing Address - Street 1:625 RYAN STREET
Mailing Address - Street 2:SUITE 20
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601
Mailing Address - Country:US
Mailing Address - Phone:337-436-5001
Mailing Address - Fax:337-436-5002
Practice Address - Street 1:625 RYAN ST
Practice Address - Street 2:SUITE 20
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-4240
Practice Address - Country:US
Practice Address - Phone:337-436-5001
Practice Address - Fax:337-436-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA12236251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare