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Organization

PCA NURSING SERVICES OF BATON ROUGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT W TUCKER SR. (CEO)
(225) 346-4000
Entity
Organization

Contact information

Practice address
1779 GOVERNMENT ST, BATON ROUGE, LA 70802-4057
(225) 346-4000
(225) 346-4004
Mailing address
1779 GOVERNMENT ST, BATON ROUGE, LA 70802-4057

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
12206
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1591670
LA
05
1787345
LA
Enumeration date
04/03/2007
Last updated
01/27/2010
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