Basic Information
| Provider Information | |||||||||
| NPI: | 1366487043 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OCEANS HEALTHCARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 127 W BROAD ST | ||||||||
| Address2: | SUITE NUMBER 700 | ||||||||
| City: | LAKE CHARLES | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706014291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3377211900 | ||||||||
| FaxNumber: | 3377211976 | ||||||||
| Practice Location | |||||||||
| Address1: | 127 W BROAD ST | ||||||||
| Address2: | SUITE NUMBER 700 | ||||||||
| City: | LAKE CHARLES | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706014291 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3377211900 | ||||||||
| FaxNumber: | 3377211976 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2006 | ||||||||
| LastUpdateDate: | 11/05/2008 | ||||||||
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| AuthorizedOfficialLastName: | REED | ||||||||
| AuthorizedOfficialFirstName: | JASON | ||||||||
| AuthorizedOfficialMiddleName: | REED | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF EXECUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 3377211900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.