Organization
BSW HOME RECOVERY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS MIGLICCO (VP TAX)
(225) 292-2301
Entity
Organization
Contact information
Practice address
2401 S 31ST ST # 11S055B, TEMPLE, TX 76508-0001
(225) 292-2031
Mailing address
3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
(225) 299-2031
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
08/06/2024
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