| Light House Community Care | |
|
8325 Kelwood Ave Baton Rouge LA 70806-4804 | |
| (225) 239-5498 | |
| Not Available |
| Full Name | Light House Community Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8325 Kelwood Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Ronald Joesph Barrow (MENTAL HEALTH SPECIALIST) |
| Authorized Official Contact | 2259371703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light House Community Care 8325 Kelwood Ave Baton Rouge LA 70806-4804 Ph: (225) 239-5498 | Light House Community Care 8325 Kelwood Ave Baton Rouge LA 70806-4804 Ph: (225) 239-5498 |
| NPI Number | 1770955106 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770955106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 006943226 (Louisiana) | Primary |
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