# COMMUNITY CARE LIVING, LLC

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

## Provider details

- **NPI number:** 1891638466
- **Authorized official:** MS. CHARLOTTA LORETTA MOORE RN (ADMINISTRATOR)
- **Authorized official phone:** (225) 256-0412

## Contact information

- **Practice address:** 11746 S HARRELLS FERRY RD STE D, BATON ROUGE, LA 70816-2375
- **Practice address phone:** (225) 256-0412
- **Practice address fax:** (225) 256-0908
- **Mailing address:** 11746 S HARRELLS FERRY RD STE D, BATON ROUGE, LA 70816-2375
- **Mailing address phone:** (225) 256-0412
- **Mailing address fax:** (225) 256-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2026
- **Last updated:** 04/09/2026
