Healthcare Provider Details

I. General information

NPI: 1649392978
Provider Name (Legal Business Name): THE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2271 E MASON AVE
BATON ROUGE LA
70805-1124
US

IV. Provider business mailing address

2271 E MASON AVE
BATON ROUGE LA
70805-1124
US

V. Phone/Fax

Practice location:
  • Phone: 225-357-8977
  • Fax: 225-357-9958
Mailing address:
  • Phone: 225-357-8977
  • Fax: 225-357-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADHC 2664
License Number StateLA

VIII. Authorized Official

Name: MRS. RUTH HUBBARD
Title or Position: ADMINISTRATOR
Credential: NFA
Phone: 225-357-8977