Healthcare Provider Details
I. General information
NPI: 1679291579
Provider Name (Legal Business Name): HRCE GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4637 JAMESTOWN AVE STE D
BATON ROUGE LA
70808-3235
US
IV. Provider business mailing address
4637 JAMESTOWN AVE STE D
BATON ROUGE LA
70808-3235
US
V. Phone/Fax
- Phone: 225-328-9898
- Fax: 225-372-8615
- Phone: 225-328-9898
- Fax: 225-372-8615
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRICIA
HOLIFIELD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 225-328-9898