# FAMILY CARE CASE MANAGMENT SERVICES

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

## Provider details

- **NPI number:** 1629397831
- **Authorized official:** KIMBERLY BRISTER (DIRECTOR/OWNER)
- **Authorized official phone:** (225) 241-5865

## Contact information

- **Practice address:** 9131 INTERLINE AVE, SUITE 5A, BATON ROUGE, LA 70809-1957
- **Practice address phone:** (225) 935-2800
- **Practice address fax:** (225) 935-2819
- **Mailing address:** 9131 INTERLINE AVE, SUITE 5A, BATON ROUGE, LA 70809-1957
- **Mailing address phone:** (225) 935-2800
- **Mailing address fax:** (225) 935-2819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 27035 | LA | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 05/27/2010