# FAMILY SERVICE OF GREATER BATON ROUGE

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

## Provider details

- **NPI number:** 1992867063
- **Authorized official:** MARY HELEN BORCK R.N. (PROGRAM DIRECTOR)
- **Authorized official phone:** (225) 927-9810

## Contact information

- **Practice address:** 4727 REVERE AVE, BATON ROUGE, LA 70808-3168
- **Practice address phone:** (225) 927-9810
- **Practice address fax:** (225) 927-9807
- **Mailing address:** 4727 REVERE AVE, BATON ROUGE, LA 70808-3168
- **Mailing address phone:** (225) 927-9810
- **Mailing address fax:** (225) 927-9807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CM4201 | LA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/22/2020
