Healthcare Provider Details
I. General information
NPI: 1285856633
Provider Name (Legal Business Name): ALL KARE ALTERNATIVES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3977 NORTH BLVD
BATON ROUGE LA
70806-3827
US
IV. Provider business mailing address
3977 NORTH BLVD
BATON ROUGE LA
70806-3827
US
V. Phone/Fax
- Phone: 225-383-7793
- Fax:
- Phone: 225-383-7793
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 12600 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 12601 |
| License Number State | LA |
VIII. Authorized Official
Name: MRS.
THELMA
KELLER
JONES
Title or Position: DIRECTOR
Credential:
Phone: 225-383-7793