Organization
HEALTHY LIVING FAMILY CARE CENTER BATON ROUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARDY VALENTIN M.D. (MEDICAL DOCTOR)
(973) 687-7832
Entity
Organization
Contact information
Practice address
4962 FLORIDA BLVD, BATON ROUGE, LA 70806-4031
(225) 663-2445
Mailing address
4962 FLORIDA BLVD, BATON ROUGE, LA 70806-4031
(225) 663-2445
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD205405
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2195859
—
LA
05
—
2368176
—
LA
05
—
2410733
—
LA
Enumeration date
09/09/2015
Last updated
03/22/2016
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