NPI 1093980096

Special Care Services of Louisiana INC

Organisation Exclusive Provider Organization St. Joseph, LA

Practice location

Address: 128 Plank Rd, St. Joseph, LA 71366
Phone: (318) 766-9396
Fax: (318) 766-9499
Mailing address: 2142 Oneal Ln Suite 307, Baton Rouge, LA 70816-3205

Authorised official

Name: Stephanie Lamb Roach
Title: Director
Phone: (225) 278-8375

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence PCA 14025 (LA)

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Registry record

NPI: 1093980096
Entity type: Organization
NPI issued: 30 Apr 2008
Record last updated: 30 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.