Provider Demographics
NPI:1497877252
Name:WALKER PCA AND RESPITE SERVICES INC
Entity Type:Organization
Organization Name:WALKER PCA AND RESPITE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-922-7720
Mailing Address - Street 1:8762 QUARTERS LAKE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-7300
Mailing Address - Country:US
Mailing Address - Phone:225-922-7720
Mailing Address - Fax:
Practice Address - Street 1:8762 QUARTERS LAKE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7300
Practice Address - Country:US
Practice Address - Phone:225-922-7720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA115713747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1625230Medicaid