Organization
SPECIAL CARE SERVICES OF LOUISIANA, INC
Active
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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