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NPI Code Detail

MEDICARE: LOUISIANA BAPTIST CHILDREN'S HOME

MEDICARE: LOUISIANA BAPTIST CHILDREN'S HOME
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1912186883
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA BAPTIST CHILDREN'S HOME
Provider Business Mailing Address
First Line : PO BOX 4196
Second Line :
City : MONROE
State : LA
Zip : 71211-4196
Country : US
Telephone Number : 318-343-2244
Fax Number : 318-343-0613
Provider Business Practice Location Address
First Line : 7200 DESIARD ST
Second Line :
City : MONROE
State : LA
Zip : 71203-3913
Country : US
Telephone Number : 318-343-2244
Fax Number : 318-343-0613
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. PERRY HANCOCK
Credential :
Telephone Number : 313-343-2244
Provider Enumeration Date : 10/29/2007
Last Update Date : 11/08/2007

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Directions to “LOUISIANA BAPTIST CHILDREN'S HOME ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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