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Organization

LIFE SOURCE SERVICES, LLC

Active
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Organization

LIFE SOURCE SERVICES, LLC

Active
Other names
Life Source Services Baton Rouge
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RANDY BELTON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization

Contact information

Practice address
3049 S SHERWOOD FOREST BLVD, SUITE 100, BATON ROUGE, LA 70816-2277
(225) 291-9421
(225) 291-9743
Mailing address
3049 S SHERWOOD FOREST BLVD, SUITE 100, BATON ROUGE, LA 70816-2277
(225) 291-9421
(225) 291-9743

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
148
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1581071
LA
Enumeration date
05/02/2006
Last updated
08/07/2007
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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