Provider Demographics
NPI:1235315961
Name:CARE TEC SPECIALTY NURSING, LLC
Entity type:Organization
Organization Name:CARE TEC SPECIALTY NURSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LAMBETH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:337-301-1029
Mailing Address - Street 1:119 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5143
Mailing Address - Country:US
Mailing Address - Phone:337-948-3162
Mailing Address - Fax:337-948-3164
Practice Address - Street 1:119 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5143
Practice Address - Country:US
Practice Address - Phone:337-948-3162
Practice Address - Fax:337-948-3164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA90512251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care