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NPI Code Detail

MEDICARE: FAMILY SERVICE OF GREATER BATON ROUGE

MEDICARE: FAMILY SERVICE OF GREATER 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
1251B00000XCase Management AgencyCM4201LA

General Provider Information

NPI Number : 1992867063
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE OF GREATER BATON ROUGE
Provider Business Mailing Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-927-9810
Fax Number : 225-927-9807
Provider Business Practice Location Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-927-9810
Fax Number : 225-927-9807
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : MARY HELEN BORCK
Credential : R.N.
Telephone Number : 225-927-9810
Provider Enumeration Date : 12/15/2006
Last Update Date : 08/22/2020

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1891878435 — FAMILY SERVICE OF GREATER BATON ROUGE
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Directions to “FAMILY SERVICE OF GREATER BATON ROUGE ” 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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