Organization
SOUTHERN CARE PROVIDERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE ADAMS (ADMINISTRATOR)
(225) 774-9200
Entity
Organization
Contact information
Practice address
1515 HARDING BLVD, STE. A, BATON ROUGE, LA 70807-5461
(225) 774-9200
Mailing address
1515 HARDING BLVD, STE. A, BATON ROUGE, LA 70807-5461
(225) 774-9200
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
15000
LA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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