NPI 1114010667

Baker Wellness Center Adhc

Organisation Custodial Care Facility Baker, LA

Practice location

Address: 2402 Main Street, Baker, LA 70714
Phone: (225) 778-1567
Fax: (225) 771-1520
Mailing address: P.O. Box 668, Baker, LA 70704

Authorised official

Name: Rodolfo M Manalac
Title: Owner/President
Phone: (225) 778-1567

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 2020 (LA)

Other Custodial Care Facility providers in Louisiana →

Registry record

NPI: 1114010667
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 22 Aug 2020

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.