Ibl Special Care Management Services
NPI #1225275712 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1225275712
- Entity Type
- Organization
- Organization Name
- Ibl Special Care Management Services
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jan 21, 2009
- Last Updated
- Mar 2, 2009
Practice Location
- Address
- 11616 SOUTHFORK AVE
- Address 2
- STE 204
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-5241
- Phone
- (225) 291-3123
Authorized Official
- Name
- MS. SAMANTHA ANN ROACH
- Title
- ADMINISTRATOR
- Phone
- (225) 291-3123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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