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Organization

BASTROP PEDIATRIC DAY HEALTH CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE SMITH RN (ADMINISTRATOR/DON)
(318) 355-3204
Entity
Organization

Contact information

Practice address
205 HALL ST, BASTROP, LA 71220-4602
(318) 281-8009
(318) 281-2937
Mailing address
205 HALL ST, BASTROP, LA 71220-4602
(318) 281-8009
(318) 281-2937

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
302R00000X
Health Maintenance Organization

Other

Enumeration date
04/16/2013
Last updated
10/07/2024
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