Healthcare Provider Details

I. General information

NPI: 1902925852
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 WOODDALE BLVD
BATON ROUGE LA
70806-1508
US

IV. Provider business mailing address

3949 NORTH BLVD
BATON ROUGE LA
70806-3827
US

V. Phone/Fax

Practice location:
  • Phone: 225-922-3900
  • Fax:
Mailing address:
  • Phone: 225-387-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberCM 2423
License Number StateLA

VIII. Authorized Official

Name: JANE SHANK
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 225-387-0061