# LAROUGE HEALTHCARE

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

## Provider details

- **NPI number:** 1669074159
- **Authorized official:** EBONY BROWN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (833) 262-1101

## Contact information

- **Practice address:** 9800 AIRLINE HWY STE 233, BATON ROUGE, LA 70816-8195
- **Practice address phone:** (833) 262-1101
- **Practice address fax:** (844) 927-4527
- **Mailing address:** PO BOX 485, BAKER, LA 70704-0485
- **Mailing address phone:** (225) 955-1707
- **Mailing address fax:** (225) 341-8763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 12/20/2022