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NPI Code Detail

MEDICARE: ASSOCIATION RETARDED CITIZENS BATON ROUGE

MEDICARE: ASSOCIATION RETARDED CITIZENS BATON ROUGE
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
1385H00000XRespite Care8604LA

Other Identifiers

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

General Provider Information

NPI Number : 1609099845
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATION RETARDED CITIZENS BATON ROUGE
Provider Business Mailing Address
First Line : 8326 KELWOOD AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4803
Country : US
Telephone Number : 225-927-0855
Fax Number :
Provider Business Practice Location Address
First Line : 15059 FLORIDA BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70819-2602
Country : US
Telephone Number : 225-927-0855
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. BARRY MEYER
Credential :
Telephone Number : 225-927-0855
Provider Enumeration Date : 04/10/2007
Last Update Date : 08/22/2020

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Directions to “ASSOCIATION RETARDED CITIZENS BATON ROUGE ” Practice Location

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