Organization
JASMINE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA OWEN (OWNER/MANAGER)
(504) 782-4657
Entity
Organization
Contact information
Practice address
9151 INTERLINE AVE, SUITE 6B, BATON ROUGE, LA 70809-1970
(225) 332-5600
(225) 332-5677
Mailing address
2370 LARK ST, NEW ORLEANS, LA 70122-4320
(225) 332-5600
(225) 332-5677
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1375021
LA
251C00000X
Developmentally Disabled Services Day Training Agency
1375128
LA
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1375306
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375021
—
LA
05
—
1375128
—
LA
05
—
1375306
—
LA
Enumeration date
10/28/2014
Last updated
10/28/2014
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