Provider Demographics
NPI:1043907991
Name:MSGR. DEBLANC - DAUGHTERS OF MARY MOTHER OF MERCY JOY CARE CENTER
Entity type:Organization
Organization Name:MSGR. DEBLANC - DAUGHTERS OF MARY MOTHER OF MERCY JOY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER OR
Authorized Official - Prefix:
Authorized Official - First Name:CHIBUJUM
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIOCHI
Authorized Official - Suffix:SR
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:337-496-6575
Mailing Address - Street 1:425 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-6006
Mailing Address - Country:US
Mailing Address - Phone:862-371-5775
Mailing Address - Fax:
Practice Address - Street 1:425 7TH ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-6006
Practice Address - Country:US
Practice Address - Phone:862-371-5775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution