Organization
1ST CALEBS SIL & PCA RESTORATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAREE TREMAINE BROWN (PRESIDENT)
(225) 923-2828
Entity
Organization
Contact information
Practice address
5700 FLORIDA BLVD STE 707, BATON ROUGE, LA 70806-4280
(225) 923-2828
(225) 923-2829
Mailing address
5700 FLORIDA BLVD STE 707, BATON ROUGE, LA 70806-4280
(225) 923-2828
(225) 923-2829
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
6982
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509302
—
LA
05
—
1509361
—
LA
05
—
1584819
—
LA
Enumeration date
04/19/2007
Last updated
08/22/2020
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