Organization
ABUNDANT PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANTELLE E. CORTEZ (OWNER/DIRECTOR)
(225) 354-0196
Entity
Organization
Contact information
Practice address
4135 LAKEWOOD ST, BATON ROUGE, LA 70805-2342
(225) 354-0196
(225) 355-3495
Mailing address
4135 LAKEWOOD ST, BATON ROUGE, LA 70805-2342
(225) 354-0196
(225) 355-3495
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625060
—
LA
Enumeration date
01/07/2008
Last updated
05/05/2008
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