Organization
BATON ROUGE ELDERCARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JAMES BRAUD (OWNER / ADMINISTRATOR)
(225) 389-6715
Entity
Organization
Contact information
Practice address
8241 SUMMA AVE, SUITE A, BATON ROUGE, LA 70809-3735
(225) 389-6715
(225) 389-6717
Mailing address
8241 SUMMA AVE, SUITE A, BATON ROUGE, LA 70809-3735
(225) 389-6715
(225) 389-6717
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA 15511
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCA15511
DHH
LA
Enumeration date
02/29/2012
Last updated
02/29/2012
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