Organization
AGAPE PCS OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE OUBRE (MANAGER)
(224) 751-2409
Entity
Organization
Contact information
Practice address
5917 JONES CREEK RD, STE 200-A, BATON ROUGE, LA 70817-3000
(225) 751-2409
Mailing address
5917 JONES CREEK RD, STE 200-A, BATON ROUGE, LA 70817-3000
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036277
—
LA
Enumeration date
08/26/2013
Last updated
10/10/2013
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