# COLLINS PROFESSIONAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184090227
- **Authorized official:** MISS JANICE DOUGLAS (CEO)
- **Authorized official phone:** (225) 270-6169

## Contact information

- **Practice address:** 8034 SCENIC HWY, BATON ROUGE, LA 70807-4925
- **Practice address phone:** (225) 362-6332
- **Mailing address:** 8034 SCENIC HWY, BATON ROUGE, LA 70807-4925
- **Mailing address phone:** (225) 362-6332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 07957011 | MS | Yes |
| 385H00000X | Respite Care | 09603804 | MS | — |

## Other

- **Enumeration date:** 08/12/2015
- **Last updated:** 08/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07957011 | — | MS |