Organization
THE H2O EXPERIENCE INC
Active
Other names
The H2O Experience Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMER N CHARLES PSY.D (DIR. OF OPERATIONS)
(225) 312-3931
Entity
Organization
Contact information
Practice address
3940 PRESCOTT RD, BATON ROUGE, LA 70805-5143
(225) 312-3931
Mailing address
3940 PRESCOTT RD, BATON ROUGE, LA 70805-5143
(225) 312-3931
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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