MEDICARE: SPECIAL NEEDS UNLIMITED, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center	11297	LA
2	261QD1600X	Developmental Disabilities Clinic/Center	11299	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548486988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECIAL NEEDS UNLIMITED, L.L.C.

Provider Business Mailing Address
First Line	:	2320 DRUSILLA LN
Second Line	:	SUITE D
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1495
Country	:	US
Telephone Number	:	225-925-5003
Fax Number	:	225-248-1063

Provider Business Practice Location Address
First Line	:	2320 DRUSILLA LN
Second Line	:	SUITE D
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-1495
Country	:	US
Telephone Number	:	225-925-5003
Fax Number	:	225-248-1063

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANGELA T BRANDON
Credential	:	B.S.W.
Telephone Number	:	225-925-5003

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/22/2020

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Directions to “SPECIAL NEEDS UNLIMITED, L.L.C. ” Practice Location

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