Organization
SPECIAL CARE SERVICES OF LOUISIANA, INC
Active
Other names
Precision Caregivers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE L ROACH MBA (DIRECTOR)
(225) 278-8375
Entity
Organization
Contact information
Practice address
1616 EE WALLACE BLVD N, FERRIDAY, LA 71334-2241
(318) 757-0407
(318) 757-0507
Mailing address
2142 ONEAL LN, SUITE 307, BATON ROUGE, LA 70816-3205
(225) 756-4494
(225) 756-4495
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PCA 15314
LA
Other
Enumeration date
10/06/2009
Last updated
10/07/2009
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