| Healthy Living Family Care Center Baton Rouge | |
|
4962 Florida Blvd Baton Rouge LA 70806-4031 | |
| (225) 663-2445 | |
| Not Available |
| Full Name | Healthy Living Family Care Center Baton Rouge |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4962 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Gardy Valentin (MEDICAL DOCTOR) |
| Authorized Official Contact | 9736877832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Family Care Center Baton Rouge 4962 Florida Blvd Baton Rouge LA 70806-4031 Ph: (225) 663-2445 | Healthy Living Family Care Center Baton Rouge 4962 Florida Blvd Baton Rouge LA 70806-4031 Ph: (225) 663-2445 |
| NPI Number | 1386012169 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386012169 | NPI | - | NPPES |
| 2195859 | Medicaid | LA | |
| 2410733 | Medicaid | LA | |
| 2368176 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD205405 (Louisiana) | Primary |
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