# DEPARTMENT OF HEALTH AND HOSPITALS, OFFICE OF PUBLIC HEALTH

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

## Provider details

- **NPI number:** 1558624486
- **Authorized official:** MS. PRISCILLA WILLIAMS (NURSE)
- **Authorized official phone:** (225) 275-5620

## Contact information

- **Practice address:** 7173A FLORIDA BLVD, BATON ROUGE, LA 70806-4549
- **Practice address phone:** (225) 922-3218
- **Practice address fax:** (225) 925-7245
- **Mailing address:** 14931 WOODLORE DR, BATON ROUGE, LA 70816-1553
- **Mailing address phone:** (225) 954-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012