| NPI | 1235912502 |
|---|---|
| Doing Business As | OUR LADY OF THE LAKE CHILDREN'S HEALTH DEVELOPMENTAL CENTER AT MCMAINS |
| Entity Type | Organization |
| Authorized Contact | JAMY RICHARD VP Of Finance 225-526-0121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |