Baker Wellness Center Adhc

NPI #1114010667 in Baker, Louisiana

Provider Information

NPI Number
1114010667
Entity Type
Organization
Organization Name
Baker Wellness Center Adhc
Primary Specialty
Custodial Care Facility
Enumeration Date
Oct 2, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2402 MAIN STREET
City
Baker
ZIP Code
70714
Phone
(225) 778-1567

Authorized Official

Name
DR. RODOLFO M MANALAC, M.D.
Title
OWNER/PRESIDENT
Phone
(225) 778-1567

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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