| O'brien House | |
|
446 N 12th St Baton Rouge LA 70802-4613 | |
| (225) 344-6345 | |
| (225) 246-7943 |
| Full Name | O'brien House |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 446 N 12th St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Mary L Talbert (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3378559023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'brien House 446 N 12th St Baton Rouge LA 70802-4613 Ph: (225) 344-6345 | O'brien House 446 N 12th St Baton Rouge LA 70802-4613 Ph: (225) 344-6345 |
| NPI Number | 1891467874 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891467874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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