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Organization

PEACE, LOVE, AND FAITH PCA SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARITA DAVIS ACKLIN (ADMINISTRATOR)
(225) 382-3920
Entity
Organization

Contact information

Practice address
4000 GUS YOUNG AVE, SUITE 104, BATON ROUGE, LA 70802-1700
(225) 382-3920
(225) 382-3925
Mailing address
4000 GUS YOUNG AVE, SUITE 104, BATON ROUGE, LA 70802-1700
(225) 382-3920
(225) 382-3925

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
12/09/2008
Last updated
12/09/2008
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