Individual
MS. PATEICIA ANN MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7262 POINSETTIA DR, BATON ROUGE, LA 70812-1861
(225) 288-6931
(225) 935-2209
Mailing address
7185 SCOBELL DR, SUITE C, BATON ROUGE, LA 70806-1502
(225) 935-2208
(225) 935-2209
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
SIL20075
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03
—
LA
05
—
24
—
LA
05
—
82
—
LA
05
—
89
—
LA
Enumeration date
06/28/2008
Last updated
06/28/2008
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