Organization
BAYOU COMMUNITY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEVELLE INGRAM (ADMINISTRATOR)
(225) 572-0953
Entity
Organization
Contact information
Practice address
11848 S HARRELL'S FERRY RD, SUITE D, BATON ROUGE, LA 70816-2593
(225) 572-0953
(225) 774-2947
Mailing address
11848 S HARRELL'S FERRY RD, STE D, BATON ROUGE, LA 70816-2593
(225) 572-0953
(225) 774-2947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
05/03/2010
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