Healthcare Provider Details

I. General information

NPI: 1639210263
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA OF GREATER BATON ROUGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3949 NORTH BLVD
BATON ROUGE LA
70806-3827
US

IV. Provider business mailing address

3949 NORTH BLVD
BATON ROUGE LA
70806-3827
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-0061
  • Fax: 225-381-7963
Mailing address:
  • Phone: 225-387-0061
  • Fax: 225-381-7963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE F SHANK
Title or Position: CEO PRESIDENT
Credential:
Phone: 225-387-0061