Healthcare Provider Details

I. General information

NPI: 1295970739
Provider Name (Legal Business Name): ABLE COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8154 SCENIC HWY
BATON ROUGE LA
70807-4927
US

IV. Provider business mailing address

8154 SCENIC HWY
BATON ROUGE LA
70807-4927
US

V. Phone/Fax

Practice location:
  • Phone: 225-775-9023
  • Fax: 225-774-8632
Mailing address:
  • Phone: 225-775-9023
  • Fax: 225-774-8632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number10934
License Number StateLA

VIII. Authorized Official

Name: MS. RENA L HESTER
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 225-775-9023