NPI 1366777559

Special Care Services of Louisiana INC

Organisation Exclusive Provider Organization Alexandria, LA

Practice location

Address: 3600 Jackson Street Ext STE 119, Alexandria, LA 71303-3040
Phone: (318) 484-7310
Fax: (318) 484-7374
Mailing address: PO Box 77055, Baton Rouge, LA 70879-7055

Authorised official

Name: Stephanie L Roach
Title: Director
Phone: (318) 484-7310

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence PCA 15314 (LA)

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Registry record

NPI: 1366777559
Entity type: Organization
NPI issued: 6 Oct 2009
Record last updated: 22 Mar 2012

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.