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Organization
CLASSIC CARE OF BATON ROUGE, INC.
Active
Organization
CLASSIC CARE OF BATON ROUGE, INC.
Active
Other names
SUPRA Home Care of Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BUTLER (PRESIDENT/CEO)
(504) 837-5557
Entity
Organization
Contact information
Practice address
1321 SIBLEY RD, SUITE A, MINDEN, LA 71055-5100
(318) 371-1801
(318) 371-1810
Mailing address
PO BOX 6588, METAIRIE, LA 70009-6588
(504) 837-5557
(504) 833-3466
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA 15368
LA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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