Provider Demographics
NPI:1598219958
Name:CAMPBELL'S NETWORK LLC
Entity Type:Organization
Organization Name:CAMPBELL'S NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-240-9493
Mailing Address - Street 1:2106 ENTERPRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-7666
Mailing Address - Country:US
Mailing Address - Phone:337-240-9493
Mailing Address - Fax:337-240-9496
Practice Address - Street 1:2106 ENTERPRISE BLVD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-7666
Practice Address - Country:US
Practice Address - Phone:337-240-9493
Practice Address - Fax:337-240-9496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No332U00000XSuppliersHome Delivered Meals