NPI 1134304330
Bayou Home Bureau
Practice location
- Address
- 8057 Williard Rd, Bastrop, LA 71220-8939
- Phone
- (318) 556-0043
- Fax
- (318) 556-3633
- Mailing address
- 8057 Williard Rd PO Box 561, Bastrop, LA 71220-8939
Authorised official
- Name
- Juanetta Martin
- Title
- Owner
- Phone
- (318) 556-0043
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1134304330
- Entity type
- Organization
- NPI issued
- 7 Jan 2008
- Record last updated
- 7 Jan 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.