Healthcare Provider Details

I. General information

NPI: 1477700599
Provider Name (Legal Business Name): FRANCISCAN PACE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2008
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 SILVERSIDE DR
BATON ROUGE LA
70808-4160
US

IV. Provider business mailing address

4200 ESSEN LN
BATON ROUGE LA
70809-2158
US

V. Phone/Fax

Practice location:
  • Phone: 225-765-6497
  • Fax:
Mailing address:
  • Phone: 225-923-2701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADHC 5044
License Number StateLA

VIII. Authorized Official

Name: MRS. KAREN ALLEN ALLEN
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.
Phone: 225-765-8255