Organization
COMMCARE CORPORATION
Active
Other names
Community Care Center of Baker, Old Jefferson Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN H PSARELLIS (VP, CAO)
(504) 324-8950
Entity
Organization
Contact information
Practice address
8340 BARINGER FOREMAN RD, BATON ROUGE, LA 70817-6252
(225) 275-3203
(225) 753-3721
Mailing address
8340 BARINGER FOREMAN RD, BATON ROUGE, LA 70817-6252
(225) 275-3203
(225) 753-3721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
310
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520144
—
LA
01
—
34466
BC/BS
LA
Enumeration date
04/28/2006
Last updated
02/18/2021
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