Organization
BRIDGING THE GAP OF BATON ROUGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE H GILLIAM (DIRECTOR)
(225) 926-6978
Entity
Organization
Contact information
Practice address
1821 WOODDALE COURT, SUITE 303, BATON ROUGE, LA 70806-1535
(225) 926-6978
(225) 926-6694
Mailing address
1821 WOODDALE COURT, SUITE 303, BATON ROUGE, LA 70806-1535
(225) 926-6978
(225) 926-6694
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1183806
LA
372600000X
Adult Companion
1175421
LA
3747P1801X
Personal Care Attendant
1184063
LA
Other
Enumeration date
12/03/2007
Last updated
04/29/2008
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