Organization
STATE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NICOLE EMMANUEL (ADMINISTRATOR)
(225) 927-9109
Entity
Organization
Contact information
Practice address
9422 COMMON ST STE 3, BATON ROUGE, LA 70809-8408
(225) 927-9109
(225) 925-8001
Mailing address
PO BOX 15446, BATON ROUGE, LA 70895-5446
(225) 927-9109
(225) 925-8001
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7202
LA
Other
Enumeration date
06/04/2007
Last updated
08/12/2022
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