Healthcare Provider Details
I. General information
NPI: 1326179623
Provider Name (Legal Business Name): ABLE COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
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
- Phone: 225-775-9023
- Fax: 225-774-8632
- Phone: 225-775-9023
- Fax: 225-774-8632
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311Z00000X |
| Taxonomy | Custodial Care Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RENA
L.
HESTER
Title or Position: DIRECTOR
Credential:
Phone: 225-775-9023