Provisions Personal Care Services LLC
NPI #1508039330 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1508039330
- Entity Type
- Organization
- Organization Name
- Provisions Personal Care Services LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 13, 2008
- Last Updated
- Feb 2, 2009
Practice Location
- Address
- 15254 OLD HAMMOND HWY
- Address 2
- SUITE A-3
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-1275
- Phone
- (225) 272-4146
Authorized Official
- Name
- MISS NELLIE A WEBSTER, BACHELOR OF ARTS
- Title
- DIRECTOR
- Phone
- (225) 272-4146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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