MEDICARE: MISS MARIE BATEAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1588102859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIE BATEAU

Provider Business Mailing Address
First Line	:	PO BOX 26121
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33320-6121
Country	:	US
Telephone Number	:	954-601-6078
Fax Number	:

Provider Business Practice Location Address
First Line	:	4780 NW 24TH CT APT C215
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-2663
Country	:	US
Telephone Number	:	954-601-6078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	02/07/2017

Similar Medicare Providers

1013449495 — M B BEHAVIORAL HEALTH SERVICES-LLC
Practice Location Address:

4780 NW 24TH CT APT C215
LAUDERDALE LAKES, FL
33313-2663

Practice Phone: 954-601-6078
Practice Fax:

1598479164 — JUDY HENRY
Practice Location Address:

3830 TENNESSEE AVE
FORT LAUDERDALE, FL
33312-2663

Practice Phone: 770-212-1719
Practice Fax:

1700082377 — RANTOUL ESTATES, LLC
Practice Location Address:

300 TWIN LAKES DR
RANTOUL, IL
61866-2663

Practice Phone: 217-892-5871
Practice Fax: 217-892-2128

1386978211 — MIDWEST CARE RANTOUL LLC
Practice Location Address:

300 TWIN LAKES DR
RANTOUL, IL
61866-2663

Practice Phone: 217-892-5871
Practice Fax:

1396133658 — WC- RANTOUL OPS, LLC
Practice Location Address:

300 TWIN LAKES DR
RANTOUL, IL
61866-2663

Practice Phone: 217-892-5871
Practice Fax: 217-892-2128

1528652971 — BROOKSTONE ESTATES OF RANTOUL
Practice Location Address:

300 TWIN LAKES DR
RANTOUL, IL
61866-2663

Practice Phone: 309-808-6764
Practice Fax:

Directions to “ MISS MARIE BATEAU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.