Healthcare Provider Details
I. General information
NPI: 1063601482
Provider Name (Legal Business Name): FRANCISCAN PACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2401 SILVERSIDE DRIVE
BATON ROUGE LA
70808
US
IV. Provider business mailing address
4200 ESSEN LN
BATON ROUGE LA
70809-2158
US
V. Phone/Fax
- Phone: 225-765-6497
- Fax:
- Phone: 225-923-2701
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KAREN
B.
ALLEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 225-765-8255