| Golden Rule Enhanced Of Louisiana, Inc | |
|
5700 Florida Blvd Suite 412 Baton Rouge LA 70806-4274 | |
| (704) 724-9995 | |
| Not Available |
| Full Name | Golden Rule Enhanced Of Louisiana, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5700 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Simona Yvonne Mitchell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7047249995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Rule Enhanced Of Louisiana, Inc Po Box 29321 Charlotte NC 28229-9321 Ph: (704) 724-9995 | Golden Rule Enhanced Of Louisiana, Inc 5700 Florida Blvd Suite 412 Baton Rouge LA 70806-4274 Ph: (704) 724-9995 |
| NPI Number | 1871809764 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871809764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10067123#N8E52 (Louisiana) | Primary |
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