MEDICARE: GLOBAL ENTERPRISES OF BATON ROUGE LLC

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	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1699918649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL ENTERPRISES OF BATON ROUGE LLC

Provider Business Mailing Address
First Line	:	57935 MCDANIEL ST
Second Line	:
City	:	PLAQUEMINE
State	:	LA
Zip	:	70764-2039
Country	:	US
Telephone Number	:	225-620-1561
Fax Number	:	225-687-9904

Provider Business Practice Location Address
First Line	:	7414 SUMRALL DR STE C
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-1240
Country	:	US
Telephone Number	:	225-620-1561
Fax Number	:	225-687-9904

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	MRS. THANE PAINIA
Credential	:
Telephone Number	:	225-620-1561

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/07/2009

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