# SIGNIFICANT HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1922127497
- **Authorized official:** MRS. STEPHANIE R JOHNSON (OWNER)
- **Authorized official phone:** (225) 907-6859

## Contact information

- **Practice address:** 9550 BREEDEN DR, BATON ROUGE, LA 70811-2149
- **Practice address phone:** (225) 907-6859
- **Mailing address:** 9550 BREEDEN DR, BATON ROUGE, LA 70811-2149
- **Mailing address phone:** (225) 907-6859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | PCA6893 | LA | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 09/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1584487 | — | LA |
