Organization
PERSONAL ADVANCE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA G LAFAYETTE (OWNER)
(225) 205-6575
Entity
Organization
Contact information
Practice address
2523 LAUREL ST, BATON ROUGE, LA 70802-3140
(225) 205-6575
Mailing address
9442 COUNTRY LAKE DR, BATON ROUGE, LA 70817-7027
(225) 205-6575
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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