Organization
SEASIDE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYETTE GAINES (MHS)
(225) 806-9074
Entity
Organization
Contact information
Practice address
158 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 272-5271
Mailing address
158 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 272-5271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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