Organization
BLACKWELL SOLUTIONS PCA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE M PARKER (OWNER)
(225) 767-3099
Entity
Organization
Contact information
Practice address
8841 BLUEBONNET BLVD, SUITE E, BATON ROUGE, LA 70810-2847
(225) 767-3099
(225) 767-3299
Mailing address
8841 BLUEBONNET BLVD, SUITE E, BATON ROUGE, LA 70810-2847
(225) 767-3099
(225) 767-3299
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PCA 14074
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1409065
—
LA
Enumeration date
11/23/2007
Last updated
04/08/2008
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