Organization
REGIONAL PCA SERVICES - BATON ROUGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LANPHIER (OWNER)
(225) 928-8989
Entity
Organization
Contact information
Practice address
138 MCGHEE DRIVE, BATON ROUGE, LA 70815
(225) 284-7504
(225) 272-0950
Mailing address
8352 BLUEBONNET BLVD, BATON ROUGE, LA 70810
(225) 928-8989
(225) 928-8990
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
627011
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158368
—
LA
01
—
627011
LICENSE
LA
Enumeration date
08/11/2010
Last updated
07/13/2012
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