| Premier Servicese Of Louisiana | |
|
921 Lobdell Suite C Baton Rouge LA 70806 | |
| (225) 930-0051 | |
| (225) 930-0076 |
| Full Name | Premier Servicese Of Louisiana |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 921 Lobdell, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Paula Lanise Clemons (ADMINISTRATOR) |
| Authorized Official Contact | 2259300051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Servicese Of Louisiana 921 Lobdell Suite C Baton Rouge LA 70806 Ph: (225) 930-0051 | Premier Servicese Of Louisiana 921 Lobdell Suite C Baton Rouge LA 70806 Ph: (225) 930-0051 |
| NPI Number | 1730314592 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 05/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730314592 | NPI | - | NPPES |
| 1359963 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1359963 (Louisiana) | Primary |
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