Healthcare Provider Details

I. General information

NPI: 1730612706
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA GREATER BATON ROUGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 04/06/2017
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: 225-387-9893
Mailing address:
  • Phone: 225-387-0061
  • Fax: 225-387-9893

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: JANET PACE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 225-387-0061