Organization
CUTTING EDGE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LUCKY MD (COLLABORATING PHYSICIAN)
(813) 952-8296
Entity
Organization
Contact information
Practice address
5316 TRENTS PL, BATON ROUGE, LA 70817-1332
(225) 615-7050
Mailing address
5316 TRENTS PL, BATON ROUGE, LA 70817-1332
(225) 615-7050
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
RN106698-AP06667
LA
314000000X
Skilled Nursing Facility
Primary
RN106698-AP06667
LA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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