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9800 Airline Hwy Ste 105 Baton Rouge LA 70816-8000 | |
| (225) 993-0486 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Assisted Living Facility |
| Location | 9800 Airline Hwy Ste 105, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Ebony Brown (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2259930486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 485 Baker LA 70704-0485 Ph: (225) 955-1707 | 9800 Airline Hwy Ste 105 Baton Rouge LA 70816-8000 Ph: (225) 993-0486 |
| NPI Number | 1225630726 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225630726 | NPI | - | NPPES |
| XX00000 | Other | LA | OTHER |
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