Individual
CONNIE MARIE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 BRICKSOME AVE, BATON ROUGE, LA 70816-8997
(225) 291-1164
(225) 291-1165
Mailing address
12021 BRICKSOME AVE, BATON ROUGE, LA 70816-8997
(225) 291-1164
(225) 291-1165
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
15156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012092
—
LA
05
—
1012106
—
LA
05
—
1012149
—
LA
Enumeration date
01/19/2020
Last updated
09/08/2025
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