NPI 1508039330

Provisions Personal Care Services LLC

Organisation Exclusive Provider Organization Baton Rouge, LA

Practice location

Address: 15254 Old Hammond Hwy Suite A-3, Baton Rouge, LA 70816-1275
Phone: (225) 272-4146
Fax: (225) 272-4147

Authorised official

Name: Nellie a Webster
Title: Director
Phone: (225) 272-4146

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1508039330
Entity type: Organization
NPI issued: 13 Apr 2008
Record last updated: 2 Feb 2009

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.